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NUR 120 EXAM 1
Musculoskeletal Chapter 65
46
Nursing
Not Applicable
02/08/2011

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Term
Osteoarthritis
Definition
Noninflammatory, don't know why it starts, chronic and progressive or from an injury, hard like sandpaper, makes for hardful movements
Term
Who suffers from osteoarthritis
Definition
Men under 50, Women over 50, athletes, obese
Term
Osteoarthritis Systemic Symptoms
Definition
None :)
Term
Osteoarthritis Signs and Symptoms
Definition
Pain in joint, worse in the morning that goes away in 30 minutes, worsens when barometric pressure drops, crepitis, asymmetric
Term
Osteoarthritis Joints
Definition
Heberden's Nodules, Buchards, knee maybe bowlegged
Term
DX studies for Osteoarthritis
Definition
No labs, XRAY, CT, MRI
Term
TX for Osteoarthritis
Definition
Encourage frequent movements, heat more common in chronic, acute use ice, ideal weights, aerobic condition and muscle strengthing, acupuncture, Ben Gay, Magnets, OTC
Term
Drug Therapy for Osteoarthritis
Definition
Acetaminophen, Topicals (Zostrix), NSAIDS taken with cytotec to protect stomach, Cox 2 inhibitor (Celebrex), Antibiotics (Doxycycline)-if others don't work, can also try corticosteriod injections for pain relief
Term
Rheumatoid Arthritis
Definition
Chronic, systemic autoimmune disease, characterized by inflammation of connective tissue in synovial joints, remissions and exacerbations
Term
RA, how it works
Definition
Complement->Inflammation->Neutrophil response->articular cartilage damage->further inflammatory response and damage

Trends in families, but not known how it is passed
Term
Clinical Manifestations of RA in Joints
Definition
Pain stiffness, w/inflammed, swollen, tender joints, symptoms are symmertrically commonly effects hands, elbows, shoulders
Term
Clinical Manifestations of RA Extra-Articular Manifestations
Definition
Systemic Rheumatoid nodules (Sub Q) firm, nontender masses can progress or get infective, if they spread to the lungs the prognosis is poor, Sjorgren syndrome dec tearing and saliva lead to itchy, burning eyes
Term
RA complications
Definition
Slow progression, dec weight, morning stiffness that lasts hours, deformity of thumb, swan neck deformity of fingers
Term
RA w/o Tx
Definition
W/O TX systems are progressive and terminal, by the time of pulmonary effects, it is far progressed
Term
DX labs RA
Definition
RF, ESR, ANA, CRP, Inc WBC in synovial fluid, MRI at beginning would be negative
Term
Physical Therapy of RA
Definition
Protect joints
Term
Drug therapy for RA
Definition
1. Methotrexate, 2. TNF
No live vaccines, No heart failure patients on TNF, Antimalarial
Term
Nutritional Therapy RA
Definition
No special diet, but balanced nutrition, hand pain, meals on wheels, because of corticosteriods that are high in gluocose, the body redistributes fat, patients may want to diet, which is wrong thing to do
Term
Pain Relief for RA
Definition
Initially use NSAIDS
Term
Goals of RA Tx
Definition
Braces to protect joints, good body alignment, alternate activity and rest, hot and cold therapy, exaberations, gentle ROM, keep independent as long as possible, promote positive self image
Term
Ankylosing Spondylitis
Definition
Chronic inflammatory disease of the joints, vertebrae, ribs, hips
Term
DX Studies of Ankylosing Spondylitis
Definition
X RAY, increased ESR
Term
TX of Ankylosing Spondylitis
Definition
NSAIDS, DMARDS, trying to suppress inflammation exercise is essential, worse at night and first thing in the morning, altered vision, heart and pulmonary issues, surgery can help
Term
Reactive Arthritis
Definition
Reiter's Syndrome, Most commonly from Chlamydia infection, Commonly affects large joints of lower extremities, lesions on the foot
Term
TX of Reactive Arthritis
Definition
Doxycycline for 3 months for Chlamydia, Recovery is in 2 to 16 weeks, Only 50% get full joint recovery
Term
Septic Arthritis
Definition
Infected, immobilized joint, Staph infection causes, Gonnerhea
Term
DX Septic Arthritis
Definition
Aspirate joint, culture synovial fluid
Term
When should TX be started in Septic Arthritis
Definition
Before the Test even get back, if does not clear have surgery to drain fluid out
Term
Lyme Disease
Definition
Transmitted from ticks to humans, not human to human
Term
Signs and Symptoms of Lyme Disease
Definition
Rash at site, 2-3 days afterwards, bullseye, chills, achy, fever, stiffness, 1 week to 1 month after bite, a late major sign is neurological issues
Term
DX for Lyme Disease
Definition
Test for antibody
Term
Tx for Lyme Disease
Definition
Doxycycline, Cefuroxime, Amoxicillen, teach prevention
Term
Cause of Gout
Definition
Increase in uric acid production, decreased excretion, increase intake of purine rich foods
Term
Primary Gout
Definition
Hereditary
Term
Secondary Gout
Definition
Drugs or SE from another disorder
Term
Signs and Symptoms of Gout
Definition
Great toe pain, swollen, red, tender, onset at night, horrid pain
Term
Dx Studies for Gout
Definition
Serum uric acid level > 6, 24 hour urine for uric acid
Term
Drug Therapy for Gout
Definition
Combine Colchicine an NSAIDS, long term use Allopurinol and Benemid
Term
Diet for Gout
Definition
Shellfish, asparagus, spinach, meats are high in purine, avoid ETOH, increase fluids 2 to 3 liters, weight loss, foot cradle
Term
Lupus
Definition
Autoimmune, exacerbations and remissions, hormone related
Term
Who gets Lupus
Definition
Women of child bearing age
Term
Clinical Manifestations of Lupus
Definition
Butterfly rash on face, alopecia, rash on skin when exposed to sun, stiffness, cardio/pulmonary fibrosis, arrhympias, renal failure is common, neuropathy, decrease in RBC, WBC, PLT, Cytopenia
Term
Goal of Lupus TX
Definition
Avoid progression and avoid renal failure
Term
DX Studies for Lupus
Definition
ESR, ANA, CBC, CRP, ANTI SMITH
Term
Drug Therapy for Lupus
Definition
NSAIDS, Corticosteriods for exacerbations, Methotrexate, Immunosuppressants (Imuran/Cytoxan)
Term
Nursing role in Lupus
Definition
Council against pregnancy, decent prognosis, avoid sunlight, plan activity around rest, and maintain good nutrition
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