Integumentary & Musculoskletal Flashcards

1
Q

What medication is utilized to prevent Gout?

A

Allopurinol

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2
Q

What is a concern with allopurinol?

A

A rash leading to steven johnson syndrome
toxi epidermal necrolysis
Renal stones

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3
Q

What is fat embolism?

A

Occurs with othopedic injuries”
Pelvic and long bone
Releasing fat globules in bone marrow and occlude the sm. vessels

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4
Q

What is Ducehenne muscular dystrophy?

A

calf muscle hypertrophy in which proximal muscles are weak

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5
Q

What are s+s of Duchenne dystrophy?

A

Placing hands on knees to get up
tippy toeing
frequent falls.

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6
Q

How can you prevent a fat embolism?

A

Early stabilization of injury

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7
Q

What can you do to manage carpal tunnel syndrome?

A

Wrist immobilization

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8
Q

How do you treat a sprain

A

Rest
Ice
Compression
Exercise rehab

Analgesia

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9
Q

What are s+s of FES

A

Respiratory problems
Neurologic changes
Petechial rash
Fever

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10
Q

When should Pavlik Harness be placed?

A

First 6 months of life

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11
Q

How long should the P. Harness be worn?

A

3-5 months

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12
Q

Who should alter the P. Harness

A

Doctor only

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13
Q

What can parents do for P. Harness?

A

Assess skin 2-3 times
Dress with shirt and knee socks
Apply diapers underneath
Avoid lotions!

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14
Q

What is the most effective thing for OA

A

Warm Shower in the morning.

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15
Q

What is the diet for someone with gout?

A

Low purine diet such as avoiding organ meat , seafood
limit alcohol
increase fluids
low fat diet

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16
Q

What is a buck traction?

A

Used to immobilize hips as weight gently pulls leg to maintain alignment

17
Q

Assessments for buck traction?

A

Straight neutral position
Neuro
Skin integerity

18
Q

What is a contraindication after knee replacement surgery?

A

Placing a pillow behind the knee increases knee contracture

19
Q

What food helps with vit d and calcium?

A

fish, green veggies, almonds, eggs

20
Q

What is SJS?

A

Life threatening sensitivity that is a painful ` can resemble a third degree burn can lead to multiple organ failure

21
Q

What is a complication that can arise from phenytoin?

A

SJS

22
Q

How to detect skin cancer?

A
Asymmetry
Border irregular
Color change
Diameter
Evolving
23
Q

How do you disease manage psoriasis?

A

Avoid triggers
Topical therapy - steroids, UV
Cytotoxic meds

24
Q

How to deal initial contact for burn pt?

A

Cool water
Remove any clothing
cover with a clean dry cloth

25
Q

Interventions for burn pt longterm

A
Counselling
Waterbased lotion
Pressure garments
ROM exercises
Sunscreen
26
Q

Type of IV given to burn pt

A

L/R

27
Q

What is the first thing you should do when someone is in contact with poison ivy?

A

Wash the area

28
Q

What is juvenile idiopathic arthiritis?

A

The bones become deconditioned due to decreased muscle strength?

29
Q

What physical activities can a child do with juvenile idiopathic arthritis?

A

Low impact, weight bearing, and NWB with ROM and stretching.

30
Q

What do you implement first with suspected rhabdomyolysis?

A

N.S Bolus to prevent kidney damage.

31
Q

Nursing priority to minimize fractures in osteogensis imperfecta children

A

Check bp manually to avoid over-tightening
Lift by slipping a hand under the broadest areas of the body
reposition frequently

32
Q

What to prioritize with a burnt patient?

A

IV fluid resucitation

33
Q

What to teach to prevent further bone loss in osteoperosis?

A
Biphosphate meds 
Cal/ Vit D
Smoking cessation and alcohol avoidance 
Weight bearing exercise >3 weeks for 30 minutes
Laying in bed increases risk for falls.
34
Q

What to do when abdominal wound dishisence?

A

Low fowler - to relieve pressure
Assess vitals
Cover the viscera w/ sterile dressing
NPO

35
Q

Appropriate use of cane

A

Hold on stronger side elbow flex 20-30 degrees
Place cane 6-10 (15-25) infront of and side of the foot
Move the weaker leg forward to level of cane
move stronger leg forward
Always keep 2 point of support