MSK Flashcards
With aging, bone calcium loss can result in:
Fractures
Joint stiffness and pain is the result of:
Articular cartilage wearing down
Falls can indicate:
Muscle strength declines
Other factors of the aging MSK are:
Decreased elasticity of ligaments/tendons/cartilage
Posture/gait changes
Poor nutrition/hormone loss
Occupational hazards (cartilage loss)
What should be included in nursing history?
Mobility/assistive devices
Psycho-social info
Adls
Joint pain assessment
Previous MSK injury/congenial defect
Nutrition/wt. assessment
Potential risk factors
During physical exams you should compare _______ to the _________
Affected extremity to unaffected extremity
Pain unrelieved by narcs should be:
Reported to RN/Dr.
Abnormal capillary refill is about how many seconds?
Anything over 3-5 seconds..report to Dr.
Peripheral pulses should be _____ to the injury
Distal
During an edema assessment, you assess:
Inflammation & fluid status I.e. WNL, +1 +2 +3 +4 & pitting
Tingling/paresthesia/numbness/absence of sensation are apart of:
Assessing sensory nerves
Limited or absent refers to
assessing motor nerves
Describe the pain assessment factors
Location, duration, interventions/effectiveness, quality/severity (0-10), precipitating factors, when pain started, radiation
This is a pain reliever
Analgesic
What are some diagnostic tests for MSK?
Calcium total (Paget’s disease)..count: 8.4-10.2 phosphorus, alkaline phosphate total (Paget’s disease), myoglobin, creatine kinase..high level=tissue damage, CK3 (MM) isoenzyme, uric acid…high level indicate gout, ESR…level should be less than 20, CBC