Integumentary & Musculoskletal Flashcards
What medication is utilized to prevent Gout?
Allopurinol
What is a concern with allopurinol?
A rash leading to steven johnson syndrome
toxi epidermal necrolysis
Renal stones
What is fat embolism?
Occurs with othopedic injuries”
Pelvic and long bone
Releasing fat globules in bone marrow and occlude the sm. vessels
What is Ducehenne muscular dystrophy?
calf muscle hypertrophy in which proximal muscles are weak
What are s+s of Duchenne dystrophy?
Placing hands on knees to get up
tippy toeing
frequent falls.
How can you prevent a fat embolism?
Early stabilization of injury
What can you do to manage carpal tunnel syndrome?
Wrist immobilization
How do you treat a sprain
Rest
Ice
Compression
Exercise rehab
Analgesia
What are s+s of FES
Respiratory problems
Neurologic changes
Petechial rash
Fever
When should Pavlik Harness be placed?
First 6 months of life
How long should the P. Harness be worn?
3-5 months
Who should alter the P. Harness
Doctor only
What can parents do for P. Harness?
Assess skin 2-3 times
Dress with shirt and knee socks
Apply diapers underneath
Avoid lotions!
What is the most effective thing for OA
Warm Shower in the morning.
What is the diet for someone with gout?
Low purine diet such as avoiding organ meat , seafood
limit alcohol
increase fluids
low fat diet
What is a buck traction?
Used to immobilize hips as weight gently pulls leg to maintain alignment
Assessments for buck traction?
Straight neutral position
Neuro
Skin integerity
What is a contraindication after knee replacement surgery?
Placing a pillow behind the knee increases knee contracture
What food helps with vit d and calcium?
fish, green veggies, almonds, eggs
What is SJS?
Life threatening sensitivity that is a painful ` can resemble a third degree burn can lead to multiple organ failure
What is a complication that can arise from phenytoin?
SJS
How to detect skin cancer?
Asymmetry Border irregular Color change Diameter Evolving
How do you disease manage psoriasis?
Avoid triggers
Topical therapy - steroids, UV
Cytotoxic meds
How to deal initial contact for burn pt?
Cool water
Remove any clothing
cover with a clean dry cloth
Interventions for burn pt longterm
Counselling Waterbased lotion Pressure garments ROM exercises Sunscreen
Type of IV given to burn pt
L/R
What is the first thing you should do when someone is in contact with poison ivy?
Wash the area
What is juvenile idiopathic arthiritis?
The bones become deconditioned due to decreased muscle strength?
What physical activities can a child do with juvenile idiopathic arthritis?
Low impact, weight bearing, and NWB with ROM and stretching.
What do you implement first with suspected rhabdomyolysis?
N.S Bolus to prevent kidney damage.
Nursing priority to minimize fractures in osteogensis imperfecta children
Check bp manually to avoid over-tightening
Lift by slipping a hand under the broadest areas of the body
reposition frequently
What to prioritize with a burnt patient?
IV fluid resucitation
What to teach to prevent further bone loss in osteoperosis?
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.
What to do when abdominal wound dishisence?
Low fowler - to relieve pressure
Assess vitals
Cover the viscera w/ sterile dressing
NPO
Appropriate use of cane
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
