Musculoskeletal Flashcards

1
Q

Osteoblasts

A

Build up cells

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2
Q

Osteoclasts

A

Breakdown bone tissue

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3
Q

Arthrocentesis

A

Needle aspiration used to diagnose joint inflammation and infection

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4
Q

What may be used to help decrease inflammation during an arthrocentesis?

A

Corticosteroid

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5
Q

Arthroscopy

A

Used to diagnose and treat acute and chronic disorders of joint

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6
Q

Arthroscopy interventions

A

Elastic compression 2-4 days post op
NPO 8-12 hrs prior

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7
Q

During a physical examination, what assessment is important?

A

Assessing activities of daily living

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8
Q

Strain

A

Excessive stretching of muscle and fascia, may involve tendon
Graded 1-3, 3 being worst

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9
Q

Sprain

A

An injury to ligaments around a joint
Wrenching or twisting motion
Graded 1-3, 3 being the worst

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10
Q

RICE

A

Rest, ice, compression, elevate

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11
Q

Compression (wrapping a sprained ankle)

A

-helps decrease edema and pain
-wrap 50-75% tightness
-wrap distal to proximal due to blood flow
-check cap refill

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12
Q

Types of fractures

A

Open — skin broken; bone exposed
Closed — skin intact

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13
Q

Crepitation with fractures

A

a crackling, popping, or crunching sound or sensation that occurs when you move a joint

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14
Q

Ambulatory and home cast care
DOs

A

Frequent neurovascular assessment
Ice for first 24 hrs
Elevate for first 48 hrs
Exercise joints above & below
Use hair dryer on cool setting for itching
Check with HCP before getting wet, dry thoroughly after
Report increasing pain/swelling/discoloration/movement/burning/tingling/sores/foul odor
Keep appt to have cast checked/removed

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15
Q

Cast care
DONTs

A

Don’t get wet
Don’t pull out padding
Don’t place foreign objects inside cast
Do not bear weight on new cast for 48hrs
Do not cover with plastic for long periods of time

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16
Q

6ps- focused assessment

A

Pain
Pallor
Pulse
Paresthesia
Paralysis
Poikilothermia (coolness)

17
Q

Prevent complications of immobility

A

Constipation
DVT/pulmonary emboli

18
Q

Compartment syndrome clinical manifestations

A

Pain
Pressure
Paresthesia
Pallor
Paralysis
Pulselessness

19
Q

Raloxifene (Evista)

A

Hormone drug therapy
Similar to estrogen and binds to estrogen receptors
Reduces bone resorption
Used for osteoporosis & breast cancer
May decrease risk of CV event

20
Q

Raloxifene (Evista) adverse effects

A

Venous thromboembolism
Fetal harm
Hot flashes

21
Q

Use cephalosporins in caution with

A

Other agents that cause bleeding

22
Q

Vancomycin (Vancocin, Vancoled)

A

Most widely used
Oral dose used for c diff
Severe infections only
Red man syndrome!!