Osteoarthritis Flashcards
caused by what
gradual loss of articular cartilage
formation of what cells
osteophytes
early stage OA symptoms
pain and stiffness
what happens to the bone
rubs together
OA risk factors
-age
-menopause (decreased estrogen)
-obesity
-ACL injury
-frequent kneeling and stooping
-smoking (vasoconstriction)
-possible genetic link
OA noninflammatory
no synovial membrane inflammation, no systemic s/s, synovial fluid present
OA inflammatory
use of arthroscopy/MRI identified inflammation present
clinical s/s
-joint pain
-deformity
-non-systemic
nursing assessment
-joint pain and stiffness
-inability to perform ADLs!!
-pain management
-assess affected joints (bilaterally)
is there a cure for OA?
what is goal?
no
pain management, preventing disability, maintaining and/or improving joint function
options for treatment
-rest and joint protection
-heat and cold applications
-nutritional therapy and exercise
-drug
-surgical
when does the pt ice
acute inflammation
why does the pt heat
stiffness
drug therapy mild-moderate
-acetominophen
-topical agents
drug therapy moderate - severe
-ibuprofen 200mg up to 4x/day
-misoprostol (GI symptoms)
-arthrotec (combo of misoprostol and NSAID diclofenac)
-diclofenac gel
-celecoxib
