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150 exam 1 > Osteoarthritis > Flashcards

Osteoarthritis Flashcards

1
Q

Osteoarthritis

A 
Non- inflammatory           Progressive
Degenerative                      Non-systemic
Localized
Asymmetrical
loss of cartilage 
One or two joints
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2
Q

Causes osteoarthritis

A

Obesity
Overuse
Age
Genetics

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3
Q

S/S of Osteoarthritis

A 
Crepitus
Swollen knuckles
Pain worse in pm
Joint pain
Morning stiffness
Limited movement
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4
Q

When is pain worse in osteoarthritis

A

In the pm
Increases w/activity
Improves with rest

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5
Q

Is there a cure for Osteoarthritis

A

Yes surgery

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6
Q

Crepitus

A

Osteoarthritis
Grating sound
Can lead to decreased mobility and muscle atrophy

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7
Q

What joints are affected by osteoarthritis

A

Weight-baring joints
Knees
Hips
Back (typically lower)

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8
Q

Nursing diagnoses

A

Chronic pain related to…
Impaired physical mobility related to…
Deficient self-care related to…
Deficient knowledge(specify) related to…

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9
Q

Interventions for osteoarthritis

A 
Instruct in weight-reduction diet
Teach:
Use correct posture & body mechanics
Sleep w/rolled towel under their neck
Wear stretch gloves at night
Keep joints in functional position
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10
Q

Glucosamine chondroiton

A 
Decrease pain & improve functional mobility
Natural supplement
Affects blood sugar
Effective early on
Can interfere w/pt w/hypertension
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11
Q

Herberds nodes

A

Affects knuckles by the nails

OA w/ swelling and inflammation

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12
Q

Bouchards node

A

Affects knuckles of middle finger

OA w/ inflammation

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13
Q

Drug therapy for Osteoarthritis

A

NSAIDs
Acetaminophen
Other analgesics
Topical lidocaine patch

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14
Q

Test for OA

A

There is not A definitive test for OA
ESR: normal or slightly elevated
Imaging: x-Ray, CT, MRI

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15
Q

Dietary supplements and OA

A

Decrease progressive of OA

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16
Q

Surgical for OA

A

Total joint arthroplasty (TJA) also called (TJR) total joint replacement
Usually done to hips or knees
Improves mobility & relieves pain

17
Q

Post-op TJA/TJR

A 
Prevent pneumonia (use IS)
Prevent DVT(activity, compression device, TED hose)
18
Q

Acetaminophen

A

Tylenol

No more than 3grams daily b/c causes liver disease

19
Q

Lidocaine Patch

A 
Lidoderm
Expensive
Applied directly to area
Best for hips and back
Contraindicated for pt w/ hypertension
20
Q

Celecoxib

A

(Celebrex)
COX-2 inhibitor
First used for OA unless pt has hypertension, kidney disease, cardiovascular disease

21
Q

Non pharmacological interventions

A

Rest balanced w/exercise Diathermy(electrical current)
Joint positioning. Ultrasonography(sound waves)
Heat/cold applications
Weight control
Proper posture
Paraffin dips

22
Q

Anemia

A

Low red blood cells

23
Q

What can be given directly to osteoarthritis?

A

Corticosteroid injection

24
Q

What can be given directly to osteoarthritis?

A

Corticosteroid injection

150 exam 1 (6 decks)

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