Musculoskeletal Flashcards
released during tissue damage, high with fractures
LDH
increased with skeletal muscle injury
AST
puncture or incision of joint to obtain samples of synovial fluid or remove excessive fluid.
Arthrocentesis
Fiberoptic tube inserted into joint for direct visualization, Patient must be able to flex knee; exercises prescribed for ROM
arthroscopy
RA is r/t
genetics
body is producing an immune response to own cells
production in reumatoid factors
RA can cause
destruction @ bones edges which can cause joint deformity
RA clinical manifestations
Onset subtle
Generalized stiffness
Morning stiffness 60 min to several hours or longer
FATIGUE
May report h/o precipitating stressful event
RA often affects
small joints
Larger joints & C spine may be involved
Enlarged spleen and low WBCs result in increased risk of infection and lymphoma
RA
Felty syndrome
Dry, gritty eye & photosensitivity
Sjögren’s syndrome
Firm, nontender masses found on bony areas exposed to pressure
Cataracts and vision loss
RA nodules
more susceptible to lung illness
RA diagnostic studies
RA Factor (RF) ESR CRP ANA ACPA (very sensitive) synovial fluid: high WBC
Nursing management
ask about stiffness in the morning Joint pain swelling Family support EARLY treatment to prevent joint damage
To relieve joint stiffness of RA
sit or stand in warm shower
Sit in tub with warm towels around shoulders
cold-not exceed 10-15 min
warm-not exceed 20 min @ time
Ambulatory Care of RA
balanced rest/activity Avoid total bed rest Exercise daily Avoid flexion position No pillows under knees small flat pillows under head/shoudlers
