Osteoarthritis/DJD

Question 1

definition

Answer 1

joint disease w/ loss of articular cartilage, narrowing of joint spaces, hypertrophy of bone

Question 2

prevention

Answer 2

avoid injury
decrease repetitive movements of joints
maintain healthy weight

Question 3

goals/outcomes

Answer 3

pain control
decreased joint stiffness
improved ROM & strength
maintain healthy weight

Question 4

interventions

Answer 4

heat therapy
immobilization during inflammation
PT, exercise
lifestyle changes

Question 5

pharmacology

Answer 5

analgesics
anti-inflammatories
corticosteroid injections

Question 6

indications for joint replacement

Answer 6

rheumatoid arthritis
osteoarthritis
trauma

Question 7

contraindications for joint replacement

Answer 7

infection
severe inflammation
advanced osteoporosis

Question 8

autologous transfusion

Answer 8

blood donation from self prior to surgery

Question 9

intraoperative blood salvage

Answer 9

pt’s own blood immediately reinfused during surgery

Question 10

directed blood

Answer 10

donated by family/friends

Question 11

standard blood

Answer 11

donated by the community

Question 12

pain control options

Answer 12

PCA pump
IV injections
transdermal lidocaine patches

Question 13

complication prevention

Answer 13

antibiotics
DVT prophylaxis
incentive spirometer
activity restrictions
assistive device

Question 14

activity restrictions post THR

Answer 14

no hip flexion > 90 degrees
- use assistive devices
- use raised toilet
no adduction past midline

Question 15

activity restrictions post TKR

Answer 15

no kneeling, deep knee bends
no pillows under knee
knee immobilizer
continuous passive motion machine

Question 16

subluxation

Answer 16

dislocation of prosthesis

Question 17

s/s of subluxation

Answer 17

pain
pop
shortening or abnormal rotation of limb

Question 18

how to prevent subluxation

Answer 18

maintain activity restrictions

Question 19

treatment of subluxation

Answer 19

manual reduction

repeat surgery

Question 20

s/s of hypotension/anemia

Answer 20

low BP
high HR
increase w/ orthostatic VS
decreased urinary output
decreased hgb, hct

Question 21

interventions for hypotension/anemia

Answer 21

IV fluids

RBC transfusion