Musculoskeletal Flashcards
Activity Post Total Hip
Early ambulatory is key
Patient can get up with help after analgesic wears off
Teach proper leg exercises
Osteoarthritis Interventions
Take calcium supplements Keep body weight within normal range Stop or do not start smoking Decrease stress on joints Limit sports that damage sports Avoid activities that can result in OA
Lovenox
Prevention of venous thromboembolism
Given subQ every 12 hours post op for 7-10 days, maybe up to 3 weeks
Assess for bleeding, blood in stool, and bruising
Post Surgical Complications
Dislocations Infection Venous Thromboembolism Hypotension Bleeding
Fibromyalgia Interventions
Limit caffeine and alcohol
Administer antidepressant drugs for nerve pain such as lyrica or cymbalta
Administer drugs to promote sleep and relax muscle spasms
Physical therapy
Instruct the client to exercise regularly
Enbrel
Antirheumatic Decreases progression, signs, and symptoms of RA SubQ Onset 2-4 weeks Assess for fungal infection Monitor CBC Administer TB test before administration Do not receive live vaccines
Gout TX and prevention
Chronic Gout
- allopurinol
- febuxostat
- probenecid
- -avoid aspirin
- pegloticase
Strict low purine diet
Avoid stress
Lyme disease
Systemic infectious disease caused by a tick
Bulls eye rash
Symptoms begin with flu like symptoms
Pain and stiffness
Administer antibiotics
If infection is not caught, symptoms can get worse
Prevention is best strategy for Lyme disease
Osteoarthritis
Noninflammatory
Not systemic
Not autoimmune
Give analgesics first
Rheumatoid Arthritis
Inflammatory Systemic Autoimmune Give NSAIDS first ANA lab tests Disturbed body image