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cdm 2 exam 2 > Lecture 5 - Self Care > Flashcards

Lecture 5 - Self Care Flashcards

1
Q

Bursitis

A

inflamed fluid filled sac in joint that becomes inflammed

hurts when moves

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2
Q

Tendonitis

A

inflammation of the tendon with motion
warm to touch, can be sudden

Tendon = bone - muscle

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3
Q

Sprains

A

injury to a ligament, pain is experienced during movement

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4
Q

Strain

A

Hyperextension of a muscle or tendon.

Pain at rest

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5
Q

Osteoarthritis (OA) or Degenerative Joint Disease (DJD

A

structure of joint wears out and the bones of the join are rubbing

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6
Q

Ligament connects

A

bone to bone

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7
Q

Myalgia Txm

A

Non drug: stretching, rest,heat

Drug: Topical, counter irritant, topical or oral analgesics

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8
Q

Tendonitis Txm

A

Non-drug: stretching, rest, ice, heat, immobilization

drug: topical counter-irritants, topical or oral analgesics

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9
Q

Bursitis Txm

A

Non-drug: joint rest, immobilization, ice

Drug: topical or oral analgesic

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10
Q

Sprain/Strain Txm:

A

Non-drug: RICE, stretching, protective wrap, assisted devices if needed

drug: topical counter-irritants, topical or oral analgesics

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11
Q

Who 3 Ladder step

A
  1. mild
  2. moderate
  3. severe
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12
Q

Common topical agents

A 
Methyl salicylate
Camphor
Menthol
Capsaicin
Lido cream
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13
Q

Common topical info

A

most useful in pain states that have predominate peripheral cause

may not be sufficient to produce total pain relief used alone

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14
Q

Counterirritant

A

Methyl salicylate
Camphor
Menthol

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15
Q

Counterirritant info

A

“temp relief of minor aches and sprains of muscles/joints”

recommended as adjunct to mscleskeletal injuries and disorders

produces mild, local, inflammatory reaction. These sensations distract from the deep seated pain

decrease transmission of pain

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16
Q

Analgesic and Anesthetics products

A

capsaicin
Lidocaine

block pain

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17
Q

Counterirritant Efficacy

A

mixed evidence, not alot

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18
Q

Counterirritant Dosing

A

can be used prn or scheduled multiple doses per day

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19
Q

Counterirritant Potential adverse effects

A
  1. caution if pt develops irritation, rash, burning,stining, swelling, or infection
  2. external analgesics avoided in children < 2, very cautious in < 18 and use least amount of time possible
20
Q

Counterirritant counseling points

A

Apply only to intact skin

Light bandage over application is ok

Avoid heating pads or other devices, inc absorption

Methyl salicylate: caution ppl w/ severe asthma, sensitive to aspirin, or nasal polyps

21
Q

Capsaicin info

A

Helpful in nociceptive and neuropathic pain

22
Q

Capsaicin dosing

A

must be appleid 2-4 times a day, takes a few days to work

Do not apply PRN

23
Q

Capsaicin Counseling points

A

When applied, feeling of warmth

avoid contact with mucosa, wear gloves

dont use with heating pad

24
Q

Lidocaine MOA

A

blocks sodium channel to help with pain

25
Q

Lidocaine most apporiate

A

well localized neuropathic pain

26
Q

Lidocaine can be used as…

A

monotherapy or in combo with TCA, SNRI, Gabapentin

No adjustment is necessary when renal dysfunction

27
Q

Lidocaine comes in….

A

3% cream
5% ointment

5% = Rx Patch
4% = OTC patch
28
Q

Lidocaine patch Counseling

A

can be cut
remove after 12hrs then keep off for 12hrs
max 3 at one time
apply intact skin only

29
Q

Glucosamine, Chondroitin, Methylsulfonylmethane are used primarily in…

A

OA and joint health

they are dietary supplements

Glu + Cho = building materials for cartilage

MSN = anti-inflammatory

30
Q

THC has to be below what % in CBD

A

0.3%

31
Q

Pt should be referred to health care provider if…

A

Visually deformed, abnormal movement, weakness in limb

Pain > 6 on 1-10

Inc in intensity of pain

Last > 2 weeks

Pain continues < 7 days

< 2 yrs old

N,V,F or other sx of infection

Pelvic or abdominal pain

32
Q

RICE treatment

A

Rest
Ice
Compression
Elevation - above heart

for acute treatment

33
Q

Cold counseling points

A

Dont use on lacerations
Dont use for > 20 min
Dont use in pts with impaired sensation or circulation

34
Q

When to use cold

A

Within 1st 48/72hrs..causes vasoconstriction

Don’t use if already swollen

35
Q

When to use heat

A

after 72hrs, causing vasodilation

36
Q

Dry heat

A

little to no moisture

ie Heating pad, hot water bottle, instant heat packs

37
Q

Moist heat

A

has moisture

ie moist heatpack, thermophore

38
Q

TENS therapy CI

A 
Cant use in Pacemaker patients
Cant use pregnant
don't use on Carotid Sinus
Don't use on neck
Dont use in pts with impaired sensory
cautiously in pts that have other electronic device
39
Q

Active compression

A

provide compression during both contraction and rest

40
Q

Passive compression

A

only when muscle is contracted

41
Q

Compression products used for…

A

injury

prevention of DVT

42
Q

Which stockings do you wanna stay away from?

A

those that are 8-15 mmHg

43
Q

TED stockings used for…

A

Patients that are laying in bed

TEDS for BEDS

graduated compression stockings are used for patients that aren’t confined to the bed

44
Q

Compression ranges for graduated compression stockings

A

15-20mmHG - 50-60mmHG

45
Q

Anti-embolism stockings should be in which compression ranges?

A

18-8mmHG or 20-10mmHG

cdm 2 exam 2 (16 decks)

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