Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ati comprehensive > Med-Surg: Musculoskeletal/2 > Flashcards

Med-Surg: Musculoskeletal/2 Flashcards

1
Q

gouty arthritis GA

A

systemic inflammatory disease caused by problems with purine metabolism (primary gout) or hyperuricemia (secondary gout)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

systemic inflammatory disease caused by problems with purine metabolism (primary gout) or hyperuricemia (secondary gout)

A

GA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

GA CFs

5

A
  1. family hx
  2. excessive alcohol
  3. high purine intake - organ meats, yeast, sardines, spinach
  4. obesity
  5. comorbid conditions of DM and/or KD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

high purine intake =

A

GA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

GA manifs.

4

A
  1. excruciating pain and inflammation in one or more small joints - big toes most common
  2. tophi - deposits of sodium urate crystals, generally appear after years of GA
  3. progressive joint damage and deformity
  4. increased incident of uric acid renal stone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GA dx procedures

3

A
  1. serum uric acid > 7
  2. ESR
  3. synovial fluid analysis - will show uric acid crystals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GA NIs

4

A
  1. maintain best rest during attacks
  2. use bed cradle to keep linen off joint
  3. 3l fluid/day
  4. limit high purines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GA acute phase and chronic tx meds

A

acute - colchicine

chronic - allopurinol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

colchine is to

A

GA acute attack med

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

allopurinol is to

A

GA chronic rx treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

GA and weight loss

A

lose weight slowly; rapid weight loss can cause attack or increase the incidence of uric acid renal stones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

comminuted fractures aka

A

fragmented

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

bone fracture 6 P’s

A 
pain
pressure
paralysis
pallor
pulselessness
paresthesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

fat emoblism s/s

7

A
  1. confusion
  2. anxiety
  3. tachycardia
  4. chest pain
  5. tachypnea
  6. hemoptysis
  7. petechiae over neck, upper arms, chest, abd (late sign)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

compartment syndrome is irreversible if compromise persists beyond

A

4-6 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

compartment syndrome s/s

A
  1. pain unrelieved by position or meds
  2. cyanosis
  3. tingling
  4. paralysis
17
Q

precursor of Osteoporosis

A

osteopenia

18
Q

osteoporosis CFs - primary

8

A
  1. women 65+
  2. men 75+
  3. asian, white
  4. family hx
  5. estrogen or androgen def
  6. protein def
  7. sedentary life
  8. smoking alcohol
19
Q

osteoporosis CFs - secondary

7

A
  1. bone cancer
  2. cushing’s
  3. DM
  4. meds
  5. paget’s disease
  6. prolonged immobilization
  7. RA
20
Q

osteoporosis manifs.

4

A
  1. shortened height
  2. hx of fractures
  3. thoracic kyphosis
  4. decreased bone mass
21
Q

PTH route

A

sq, daily, for osteoporosis tx

22
Q

osteomyelitis CFs

5

A
  1. DM
  2. hemodialysis
  3. injection drug use
  4. poor blood supply
  5. recent trauma
23
Q

osteomyelitis manifs. - main ones

4

A
  1. bone pain
  2. fever
  3. general discomfort
  4. local swelling, redness, warmth
24
Q

osteomyelitis dx proc. - not extensive list

2

A
  1. bone biopsy - which is then cultured

2. bone scan

25
Q

osteomyelitis NIs

3

A
  1. IV antibiotics
  2. if wound drainage - do contact precautions
  3. implement wound irrigation
26
Q

osteomyelitis therapeutic measures

2

A
  1. surgical excision of dead and infected bone may be needed

2. bone grafting may be performed in large impacted areas

27
Q

total joint arthroplasty post op for hip

3

A

keep abductor pillow in place while in bed, do not flex hip more than 90 degrees, do not position on operative side

28
Q

total joint arthroplasty post op for knee

A

maintain continuous passive motion CPM machine to promote joint mobility

29
Q

total joint arthroplasty opioid rxs

2

A

extended release epidural morphine or PCA

30
Q

amputation meds

5

A
  1. opioids for residual limp pain
  2. calcitonin to reduce phantom pain
  3. antispasmodics for muscle spams
  4. beta blockers for constant, dull, burning pain
  5. antiepileptic drugs for knife-like or sharp burning pain
31
Q

amputation - calcitonin

A

reduces phantom pain

32
Q

amputation - beta blockers

A

relieves constant, dull, burning pain

33
Q

amputation - antiepileptic meds

A

relieve knife-like or sharp burning pain

ati comprehensive (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions