osteo power point

Question 1

what is osteomyelitis

Answer 1

bone infection

Question 2

what infector is the cause of osteomyelitis

Answer 2

staph aures

Question 3

basic tx for osteomyelitis

Answer 3

antibiotics or surgical

Question 4

direct vs indirect entry

Answer 4

indirect - blood to bone <12 y/o boys injury ( blunt trauma(
or older patients with vascular insifency or a GI or resp. disorder

Direct - penetrating trauma

Question 5

patho of osteomylitis

Answer 5

microorganism=swelling=ischemia=bone death=sequesta=wbc cant drift into infection = (need surgical debrement) = systemic infection.

Question 6

acute osteo mylitis time

Answer 6

> 1mo

Question 7

where is osteomyelitis common

and what are the S/S

Answer 7

usually in metaphysis of bone because of vascularity

S/S = fever, night sweats, chills, restlessness, bone pain with activity, swelling

Question 8

late stage of osteomyelitis

Answer 8

drainage from sinus tract

Question 9

diagnostic for otermyelitis

Answer 9

bone and soft tissue bioapsy
blood wound culture = will show micro organism
increas WBC and ESR normal less than 20

Question 10

xrays with osteomyelitis

Answer 10

more than 10 days after S/S

Question 11

Iv antibiotics for osteomyelitis

Answer 11

not if there is ischemia
get cultures first
delayed iv antibiotics will = need for surgical debrement
4-6 weeks 3-6 mo

Question 12

medications for ostermyelitis

Answer 12

penicillin = not if allergy to cehp decreased renal/hepatic
vancomycin renal and super infection
cephalexin

Question 13

oral medication ostermyelitis

Answer 13

fluoroquinolone for 6-8 weeks

Question 14

monitir reaction to meds for osteomyelitis

Answer 14

bone scans and ESR test

Question 15

surgical tx

Answer 15

suction nd vac with irrigation w/ AB
100 o2
bone graft to increase blood flow

Question 16

nursing interventio osteomyelitis

Answer 16

mgmt of pain
dressing abs exudate
bed rest
posotion changes to combat imoability