Osteoarthritis Flashcards
What is osteoarthritis commonly known as?
Degenerative joint disease
What type of disorder is osteoarthritis?
Chronic, noninflammatory, progressive disorder
Which joints are particularly affected by osteoarthritis?
- Weight-bearing joints (knees, hips)
- Distal interphalangeal (DIP) joints of fingers
- Proximal interphalangeal (PIP) joints of fingers
What is the most common characteristic feature of osteoarthritis seen on x-rays?
Osteophytes
What are the general manifestations of osteoarthritis?
- Pain
- Stiffness
- Functional disability
What influences the severity of osteoarthritis on a radiograph?
Kellgren-Lawrence (KL) grading scale
What are the two classifications of osteoarthritis?
- Primary (idiopathic)
- Secondary (due to prior joint injury or inflammatory disease)
What are significant risk factors for developing osteoarthritis?
- Aging
- Obesity
- Genetic predisposition
- Joint location
- Malalignment of joints
- Trauma
- Sex (females are twice as likely to develop OA than males)
What nonpharmacologic treatments are recommended for osteoarthritis?
- Complementary and Alternative medicines (CAM)
- Exercise
- Weight loss
- Self management programs
- Tai chi and canes
- Orthoses
True or False: Acetaminophen is considered an effective single agent for managing osteoarthritis pain.
False
What is the first line of pharmacologic therapy recommended for osteoarthritis?
NSAIDs
List three NSAIDs recommended for osteoarthritis treatment.
- Ibuprofen (Advil, Motrin)
- Naproxen (Aleve, Naprosyn)
- Diclofenac (Voltaren)
What therapeutic approach involves intra-articular injection to provide lubrication and analgesic effects?
Viscosupplementation
What are the goals of medical and nursing management for osteoarthritis?
- Educating patients about OA
- Reducing pain and inflammation
- Optimizing physical function
- Preventing or slowing structural damage
What is the most common surgical procedure performed for osteoarthritis?
Arthroplasty
Fill in the blank: Osteoarthritis is often _______ and trivialized.
overdiagnosed
What is the role of radiographic assessment in osteoarthritis?
- Establish severity of joint damage
- Monitor disease activity
- Monitor response to therapy
- Search for complications
What is the significance of obtaining lab values before pharmacologic therapy for osteoarthritis?
to rule out other conditions, assess overall health, and monitor for potential side effects of the medications given for osteoarthritis.
