Quiz #3 Flashcards Preview

N635 - Med Surg II SPRING 2014 > Quiz #3 > Flashcards

Flashcards in Quiz #3 Deck (35):
1

Inflammatory vs Noninflammatory Joint Disease is differentiated by

Absence of synovial membrane inflammation, lack of systemic s/sx, normal synovial fluid analysis

2

Degenerative joint disorder with a progressive loss of articular cartilage accompanied by new bone formation and capsular fibrosis, usually affects weight bearing joints (hands, elbow, feet) and variable degrees of synovitis and thickening of the joint capsule

Osteoarthritis

3

Name some of the manifestations of OA

Pain, stiffness, enlargement of the joint, tenderness, limited motion, and deformity

4

What are some of the goals of therapy for OA?

Early elimination of risk factors, early diagnosis, surveillance of the disease, appropriate treatment of pain and maximize/encourage mobility

5

What is crepitus?

Continuous grating sensation caused by irregular cartilage, may be felt or heard as the joint is put through passive ROM

6

What is the primary drug of choice for pain relief of OA? What are the risks?

Acetaminophen/Risk for liver damage if pt takes >4,000mg QD, have concurrent alcoholism, or have pre-existing liver disease

7

This OTC topical salicylate is useful for some pts as a temporary pain reliever. How does it work?

Aspercreme. It works by blocking substance P, a neurotransmitter for pain

8

If acetaminophen or topical agents are not successful, what else can be used?

NSAIDs, work by inhibiting COX-1 and COX-2. COX-2 manages pain and inflammation w/ fewer side effects of GI distress/bleeding

9

What are some of the nursing issues for a pt with OA?

Mobility, pain, risk for injury (falls, surgical complications/medication toxicity), pre-op care and post-op care

10

This connective tissue disease is one of the most common and is the most destructive to the joints. It is a chronic, progressive, systemic inflammatory AI disease that primarily affects the synovial joints

Rheumatoid arthritis

11

Rheumatoid factors consist mainly of what two immunoglobulins?

IgG and IgM

12

Early systemic clinical manifestations of RA include

Low grade fever, fatigue, weakness, anorexia, and paresthesias

13

Treatment of RA includes

Salicylates, NSAIDS (COX-2), Ibuprofen and Celebrex

14

These types of drugs can be prescribed to slow the progression of mild rheumatoid disease before it worsens

DMARDs (Disease modifying antirheumatic drugs)

15

Name 3 DMARDS

Plaquenil an antimalarial drug, Azulfidine, and Minocycline

16

Arthritis in older adults is not a normal part of the aging process. T/F

True.

17

This inflammatory arthritis is caused by deposits of uric acid crystals in the joints

Gout

18

Name five high purine rich foods that cause gout:

anchovies, asparagus, beef kidneys, game meats, liver

19

Medications that can cause gout include:

Diuretics, salicylate containing drugs, niacin, cyclosporine, and levodopa

20

Hyperuricemia, presence of uric acid crysals in joint fluid, more than one attack of acute arthritis, arthritis that develops in a day, attack only in one joint

S/Sx of gout

21

Treatment for gout includes

NSAIDS, corticosteroids, colchicines, and allopurinal

22

What is dislocation?

Temporary displacement of two bones, loss of contact between articular cartilage

23

Contact between articular surfaces is only partially lost is called

Subluxation

24

Dislocation and subluxation are associated with

Fractures, muscle imbalance, rheumatoid arthritis, or other forms or joint instability

25

Muscle fiber shortening without an action potential and caused by failure of the sarcoplasmic reticulum even with available ATP is called

Contracture

26

What is stress induced muscle tension?

Neck stiffness, back pain, clenching teeth, hand grip, headache, and is associated with chronic anxiety

27

Reduction in the normal size of muscle cells d/t prolonged inactivity (bed rest, trauma, casting or nerve damage) is called

disuse atrophy

28

Treatment of disuse atrophy is

Isometric movements and passive lengthening exercises

29

Sudden, forced motion causing the muscle to become stretched beyond its normal capacity, local muscle damage, and can involve muscle tendons is

Muscle strain

30

What treatment is used for muscle strains?

RICE - rest, ice, compression and elevation

31

The most common cause of toxic myopathy is

Alcohol abuse

32

What is myositis ossificans?

Complication of local muscle injury, inflammation of muscular tissue with subsequent calcification and ossification of the muscle

33

This is an acute problem, life threatening complication of severe muscle trauma with muscle cell loss (crush/compartment syndrome)

Rhabdomyolosis

34

The difference of RA and juvenile RA is

the mode of onset; arthritis in fewer than five joints, more than five joints, and systemic disease

35

This is a collective group of inherited noninflammatory but progressive muscle disorders without a central or peripheral nerve abnormality; affects the muscles with definite fiber degeneration but without evidence of morphologic

Muscular dystrophies