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chaper 10 3rd quarter
activitymusculoskeletal dysfunction
75
Nursing
Undergraduate 1
03/19/2011

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Term
bone densitometry
Definition
determines bone mineral density (BMD) this can be done through the use of x ray and ultrasound
Term
Computed Tomography (CT)
Definition
lets u see the cross section of anatomy, id's fractures that are hard to evaluate,best choic for injuries or pathology that involve only bone, contrast agent may be used,
Term
(MRI)Magnetic Resonance Imaging
Definition
uses magnetic fields, radio waves and computers to demonstrate abnormalities of sort tissue and bones uses for MUSCLES,TENDONS,AND LIGAMENTS, it is very loud and is good to diog, disc hurniation and soft small tissues tendens etc....
Term
Arthoscopy
Definition
allows direct visualtion of joints,treatment of tears,defects, and disease may be perfoemed
Term
post op arthoscopy
Definition
joint is wrapped with a compression dressing to control swelling
Term
Arthography
Definition
used to id tears of joint capsule or supporting ligaments of joints, radiopaque substance or air is injected onto the joint cavity to outine sort tissur structures and the contour of the joint,range of motion distubutes the constrast agents and a series of xrays are obtained
Term
arthrocentesis
Definition
perfoemed to obtain a synovial fluid exam and to relieve pain due to effusion,anti inflammatory meds may be injected (usually done in dr's office and sterile dressing)
Term
bone scan
Definition
perforned to detect metastatic and primary bone tumors arthritis, osteoporosis and fractures, bone seeking radioisotope is given IV the scan is performed after the injection
Term
nursing care of bone scan
Definition
give liquids when done, do not drinnk a lot of fluids they wannt empty bladder for the test
Term
EMG Electromyograph
Definition
needle electrodes are inserted to muscles to see electrical stimuli and recored on oscilloscope (carpal tunnel)
Term
bone and muscle biopsy
Definition
done to determine disease and determine a treatment done in OR, except for bone marrow biopsy can be done in drs office
Term
myleogram
Definition
exam of the subarachnoid space of spinal canal using a constrast agent by spinal puncture, u see the vertebral column intervertebral disks and spinal nerve roots and blood vessels(used to diog intervertebral disc spinal cord tumors) pt sits in fetal position to increase space between the vertebrae
Term
nursing care after myelogram
Definition
lots of fluids for 24h and should void with in 8 hrs
Term
lab studies
Definition
Term
displaced fracture
Definition
bone fragments not in alignment
Term
simple fracture (closed)
Definition
skin is in tact
Term
complete fracture
Definition
invvolves a break across the entire bone dividing it into two parts
Term
incomplete fracture
Definition
goes through part of the bone
Term
compound fracture (open)
Definition
disrupts the skin integrity (there are 3 grades)
Term
comminuted
Definition
bone is splintered into several fragments
Term
non displaced (tranverse)
Definition
bone fragments remain in alignment
Term
comminuted
Definition
bone is fragmented
Term
oblique
Definition
fracture occurs at oblique angle
Term
spiral fracture
Definition
from twisting motion common in child abuse
Term
impacted
Definition
fractrue bone is wedged inside opposite fractured fragments
Term
greenstick
Definition
fracture in only one cortex of bone(one side of bone is broden and the other side is bent)
Term
segmented
Definition
fracture resulting in 2 or more bones pieces (segments)
Term
depressed
Definition
fragments are driven inward(fractures of skull and facial bones)
Term
compression
Definition
bone has been compressed (vertebrae)
Term
avulsion
Definition
pulling away of fragment bone by a ligament or tendon
Term
pathological
Definition
fracture resulting from a tumor or lession that has weekened the bone can occur with out trauma
Term
fatigue (stress fracture)
Definition
a result from excessive strain and stress on a bone common in athletes
Term
crepitus
Definition
a grating sound or sensation by rubbing bony fragments together
Term
ecchymosis
Definition
blood traped under the surface of the skin
Term
complication of a fracture?
Definition
risk for hypovolemic shock,provide pain relief, assess for neuro vascular complication such as avascular necrosis and impared neuro functions
Term
anatomic compartment
Definition
an area of the body encaded by the bone for fascia that contains muscles nerves and blood vessels
Term
how many anatomic compartment are in our body
Definition
46 and 36 of them are located in the extermities
Term
what is compartment syndrome?
Definition
severe decrease in blood flow to the tissues distal to an are of injury that results in ischemic necrosis of prompt intervention dose not occur
Term
o2 decreases leads to cellular acidosis and acidosis increases cell energy requiremants and capillaries dilate to try to increase the blood supply and O2, edema increases which causes further decreases in O2 and can result in vascular insufficency and nerve compression
Definition
Term
the 6 P's
Definition
Pain,Paresthesia, Pallor, Polar (cold fingers or toes), paralysis, pulses
Term
first 3 signs of P's
Definition
Pain, pallor, Paresthesia
Term
late signs Of the P's
Definition
Polar, paralysis, pulses
Term
fat embolism
Definition
usually occurs with in 48hrs, fat globules are released from the bone marrow released in to blood bessels and travel in to small vessels including those in the lungs resulting in respiratioy insufficency
Term
S&S of fat embolism
Definition
altered mental status(earlest sympotom), respiratior distress, tachcardia tachypenea, fever, cutaneus petechiae
Term
Deep vein thrombosis
Definition
most common complication of lower extermity surgery or trauma
Term
Osteomyelitis
Definition
inflammation with in bone secodary to organisms
Term
S&S of Osteomyelitis
Definition
bone pain that worse with movement, erythema edema and fever
Term
treatment of osteomyclitis
Definition
long cours of antibiotics(IV and oral) for three months, surgical debridment
Term
delayed union
Definition
has not healed in 6 months
Term
non union
Definition
never heals
Term
malunion
Definition
fracture heal incorrectly
Term
fracture blisters
Definition
common with high energy fractures and twisting injuries in the lower extermities, increased collidal osmotic presure pulls more fluid into the space
Term
intracapsular
Definition
fractures at head or neck (with in the joint capsule)may damage the vascular system that supplies blood to the head and the neck of the femur
Term
extracapular
Definition
fracture at trochanteric region (outside joint capsule) of subtochanteric region
Term
acute compartment syndrome
Definition
tissue perfusion in an area is less than that required for tissue viability, most common in fracture in lower leg or forearm or when there is edema and bleeding assoc with severe trauma
Term
What happen in Acute Compartment syndrome? MUST KNOW!!!!!!
Definition
pressure with in the compartment may decrease microdcirculation, causing nerve and muscle anoxia and necrosis, decrease in O2 leads to cellular acidosis, acidosis increases cell energy reqirements, cappillaries Dilate to tru to increase the blood supply and O2, edema increases which causes further decreases in O2 and can result in vascular insufficiency and nerve compression
Term
With an order an RN can take of casts in the ER
Definition
Term
With an order an RN can take of casts in the ER
Definition
Term
S&S of of dislocation after a hip replacement?
Definition
increased pain,edema, immobilization, acute groin pain, shortening of the leg, abnormal external or internal rotation, restricted ability or inability to move the leg, reported "popping" sensation in the hip
Term
knee replacement
Definition
usually is total
Term
post op of knee replacement
Definition
no restriction othe rthan using a cushion or a soft surface when kneeling, compression bandage applied to control edema and bleeding, continous passive motion machine, encourage active flexion of the foot every hour keep knee in neutral positio, wound suction to prevent fluid accumulation in joint drain removed 24-48 hours
Term
Percutaneous laser disk decompression or diskectomy
Definition
local anestic, thin needle is inserted under fluoroscopy, optical fiber is placed throufh the needle to enable laser energy to travel and vaporize the disk necleus, hard plastic prosthesis replaces th disk 24 hr of bedrest after procedure return to work in a week
Term
laminectomy
Definition
removal of one or more lamina plus osteophytes and diskectomy
Term
spinal fusion
Definition
stabilizes the affected area
Term
strain
Definition
excessive stretching of a muscle or tendon
Term
S&S of strain
Definition
significant pain, muscle spasm ecchymosis, edema and loss of function
Term
sprain
Definition
excessive stretching of ligaments surrounding a joint ligaments maintain stability of joint while permitting mobility
Term
sprain S&S
Definition
severe pain, tenderness, increased edema abnormal joint motion
Term
what is RICE treatment
Definition
Rest, Ice, Compression bandage, Elevation
Term
Epicondylitis (tennis elbow)
Definition
excessive repetive extension, flexion pronation and supination activities of the forarm
Term
Meniscal injuries
Definition
from twisting or repetive squatting and impact its a cressent shaped cartliages attached to the edge of the articulating surface of the head of the tibia
Term
repture of achilles tendon
Definition
occurs when there is a sudden contraction of the calf muscle with the foot fixed firmly to the floor treatment is surgical repair and cast 6-8 weeks
Term
plantar fascitis
Definition
inflammation of foot supporting fascia, heel pain diminishes with gentle streching of foot and achilles tendon, treatment is shoe supports and cushioning,orthotic devices
Term
corn
Definition
overgrowht of epidermis produced by internal pressure or external pressure treatment is soaking and scraping off horny layer or surgical removal
Term
Callus
Definition
thickened area of the skin that has exposed to persistant pressure or friction
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