Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

sav NUR 405 w4 exam 3 > Osteoarthritis > Flashcards

Osteoarthritis Flashcards

1
Q

Osteoarthritis is characterized under rheumatic disorders as a what?

A

Local joint disorder with localized inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

T/F Osteoarthritis is progressive and patients will become more symptomatic over time

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T/F Osteoarthritis shows systemic manifestations

A

False, OA involves a low level of inflammation at the local joint, and involves formation of new joint tissue in response to cartilage destruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Is OA a normal part of the aging process

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is one of the first medications given with OA

A

Tylenol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Osteophytes are also known as

A

Bone spurs due to excess bone growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Age when symptoms start with OA

A

usually after 40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

commonly affected body parts in OA

A

Lumbar and cervical spine

joint at base of thmb

knuckles and tips of fingers

hip

knee

joint in foot above the heel

knuckle at the base of big toe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

LESS commonly affected body parts in OA

A

shoulder

wrist

elbow

knuckles at base of fingers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

symptoms of OA

A

pain

stiffness

crackling or clicking in joints

extra bone growth

decreased Range of motion

problems in joint alignment

tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

OA Clinical manifestations

A

No systemic Cues

Joint pain (Most common reason for medical attention)

  • Worsens with use
  • Relieved by rest
  • Change in temperature or barometric pressure
Pain
- worse with activity
Stiffness
- worse with inactivity
- More common in the AM; resolves within 30 min

Crepitus
- typically asymmetrical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Finer deformities in OA

A

Heberden’s nodes - most distal joint on fingers

Bouchard’s nodes - more proximal on fingers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

knee deformities in OA

A

Bowlegged appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

3 tests that show early joint changes and can diagnose OA

A

Bone scan

CT

MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Test helpful in staging progression

A

X-Ray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What can an X-Ray help show in OA

A

Joint narrowing

bony sclerosis (bone thickening)

osteophyte formation (bone spurs)

17
Q

T/F Xray does not correlate to degree of pain

A

True

18
Q

Are there biomarkers for OA?

A

No

19
Q

What will the ESR value be if there is no synovitis present

A

ESR will be normal

20
Q

What color would the synovial fluid be in someone with OA

A

Clear yellow with no signs of inflammation

21
Q

What are 5 nursing problems we see in OA

A

Acute and/or chronic pain

Impaired physical mobility

self-care deficit

Imbalance in nutrition : More intake than required

Depression r/t chronic pain

22
Q

What do we want to do to understand a patient’s baseline for pain in OA

A

multidimensional pain assessment to get a baseline

23
Q

Non drug intervetions for OA relating to joint protection

A

Rest/Joint protection

  • maintain functional position with orthotics
  • avoid prolonged immobilization
  • use assistive devices ( canes, walkers, chair lift)

Weight reduction prn and aerobic exercise

24
Q

OA drug therapy mild-mod

A

acetaminophen - if lacking s/s of inflammation

  • 3 gm daily
  • 4 gm if limited duration or medically supervised
  • MONITOR LFT’s
25
Q

OA drug therapy if unrelieved w tylenol or s/s of inflammation

A

NSAIDs

  • monitor bleeding
  • ulcer
  • GI upset
  • Renal issues
26
Q

OA drug therapy if GI side effects a problem

A

Cox-2 inhibitor (celecoxib)

27
Q

What topical creams can be use in treatment of OA

A

NSAIDs or capsaicin (active ingredient - chili peppers)

28
Q

2 types of joint injections in OA

A

Glucocorticoid (steroid) injections

Hyaluronate injections

29
Q

What do we use steroid injections for

A 
suppress inflammation
and
if unrelieved by other measures
and 
Arthritis confined to a few joints
30
Q

Are steroid injections permenant or temporary relief

A

temporary; may experience brief flare up after injection

31
Q

What are patients at risk for with injections

A

risk for injection

if injected frequently can cause joint damage
- no more than 3-4 a year

32
Q

what do Hyaluronate injections do

A

substance in joints that allows joint fluid to be slippery

33
Q

What is hyaluronate injections typically reserved for

A

those awaiting joint replacement (knee, in particular)

34
Q

What are 4 of the interdisciplinary teams that can help with OA

A

Rheumatologist
PT
OT
nutritionist

35
Q

What is important with home management of OA

A

Family/support system

36
Q

Non drug complementary interventions for OA

A
  • yoga
  • acupuncture, biofeedback
  • Glucosamine/chondroitin (OTC, no evidence to support, can give 6-month trial)
37
Q

Non drug interventions for OA r/t heat and cold therapy

A

Heat/cold application

  • heat can decrease stiffness (20min on/20 min off)
  • hot packs
  • paraffin wax bath
  • whirlpool

sav NUR 405 w4 exam 3 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions