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Flashcards in Chapter 49 Deck (13):
1

Normal changes in musculoskeletal system

Thinning vertebral disks
Shortening of spinal column
Kyphosis
Spinal compression
Bone thinning
Cartilage rigid/fragile
Ligaments less elastic
Decreased muscle mass

2

Normal changes..... when to call DR

When affecting ADLs

3

Physiologic consequences of immobility

DVT, PE, fluid overload, orthostatic hypotension, pooled secretions, contractures, pressure ulcers, atrophy , constipation, UTI, sepsis, stones, stasis

4

Serous calcium

9.0-10.5

5

Serum phosphorous

3.0-4.5

6

Alkaline phosphatase
ALP

30-120

Rises with osteoblasts activity

7

Myelography

Injection of contrast medium into subarachnoid of spine

8

Arthrogram

X-ray of joint after air or contrast medium injected

9

Bone scan

Radionuclide test for viewing entire skeleton

Tumors

10

Gallium and thallium scan

Similar to bone scan

Substance migrates to brain, liver, breasts

Looking for metasitized cancer

11

Electromyography

Low electrical currents, peripheral nerve disorders

Inspect for hematoma formation

No blood thinners! Coumadin, warfarin, fish oil, muscle relaxants

12

Biphosphonates

Prevent the loss of bone mass.

Risk for esophageal erosion!!!!!
Sit upright 30 mins and drink full glass of water!!!!!!!!!!3

13

Names some biphosphinates

Fosamax
Boniva
Reclast
Actonil