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NUR 211 Krissa > Osteoarthritis > Flashcards

Osteoarthritis Flashcards

1
Q

Osteoarthritis is a disorder of what?

A

Connective tissue

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2
Q

Risk factors for OA

A
  • Age over 55
  • Sex: female
  • Occupation
  • Obesity
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3
Q

Occupations That are at risk for OA

A

musicians
teachers
healthcare workers
construction workers
dancers
athletes

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4
Q

What are the two causes of OA

A
  • Cartliage loss***
  • Synovial membrane thickens and over produces synovial fluid
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5
Q

Common joints affected by OA

A
  • Cervical spine/Lumbar spine
  • Hips
  • Knees
  • Big toe*
  • Hand nodes*
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6
Q

Proximal interphelangeal joint node

A

Bouchards node

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7
Q

Distal interphalageal node

A

Heberden’s node

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8
Q

What forms in the nodes and causes cartilage loss in OA?

A

Osteophytes

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9
Q

All of the following are clinical manifestation of what?

  • Progressive aching/pain over time increasing with joint use
  • Pain relieved with rest
  • Decreased range of motion
  • Tenderness to touch
  • Morning stiffness less than 30 minutes
  • Bony swelling (Osteomyelitis)
  • Soft tissue swelling
  • Crepitus
  • Deformity of joints
  • Joint instability
A

Osteoarthritis

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10
Q

a crackling, grating sound or feeling, due to air or gas under the skin  happens because of cartilage breakdown

A

Crepitus

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11
Q

How to dx Osteoarthritis

A

Diagnosis is made based on clinical S/S without lab testing or x-rays when client is 45 years or older, and presents with persistent usage-related pain in several joints and morning stiffness that lasts less than 30 minutes.

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12
Q

Bony swelling in OA can indicate what?

A

Osteomyelitis

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13
Q

The apperance of what on an x-ray can indicate OA?

A

Subchondral sclerosis (thickening of the bone)
Subchondral cysts
Osteophytes (bone spurs)
Joint space narrowing

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14
Q

Non-pharm treatment for OA

A
  • Weight loss
  • Heat and cold compresses
  • Aerobic exercise
  • PT/OT to include ROM and muscle-strengthening
  • Use of ambulatory assistive devices
  • Appropriate footwear
  • Energy conservation techniques/frequent rest periods
  • Goal setting
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15
Q

Heat soothes….

A

Muscles

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16
Q

Cold soothes…

A

bones and joints

17
Q

Pharmacological interventions for OA

A

Acetaminophen
NSAID
Corticosteroids
Opioids

18
Q

How much tylenol for a 24 hour period

A

4,000 mg

19
Q

Contraindications for NSAIDs

A

ESRD, Alcoholics, hx GI issues

20
Q

Diebetics should monitor what when taking corticosteroids

A

Blood sugar

21
Q

What surgical intervention needs to be taken before a surgical fusion

A

Arthroscopic irrigation and debridement

22
Q

A surgical procedure in which the joint irrigated and expanded to remove debris

A

Arthroscopic irrigation and/or debridement

23
Q

Remove excessive growth of synovial membrane

A

Synovectomy

24
Q

Surgical procedure in which joint surfaces are fused to prohibit movement

A

Surgical fusion

25
Q

Surgical interventions for OA

A

Arthroscopic irrigation and/or debridement
synovectomy
Surgical fusion

26
Q

Nursing diagnosis for OA

A

Pain r/t disease process
Ineffective sleep pattern r/t pain
Self-care deficit: Related to decreased range of motion
Impaired mobility

27
Q

Chronic NSAID use can cause what?

A

HTN
alter renal function - reduce sodium excretion and enhance fluid retention

28
Q

OA patients should monitor what to monitor fluid retention

A

Weight
2lbs in 2 days call doc

29
Q

Complications of OA

A

Heart failure
Diabetes

30
Q

chest pain, abdominal pain, abnormal bleeding, and blood in the stool or emesis in a OA patient can idicate what?

A

NSAID toxicity
or
MI

31
Q

Nursing interventions for OA

A
  • Monitor vital signs
  • Monitor weight
  • Monitor skin integrity
  • Monitor labs
  • Assess for pain and administer medications as ordered
  • Provide cold packs and heating pads as appropriate
  • Administer pain med prior to PT/OT

NUR 211 Krissa (16 decks)

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