Osteomyelitis

Question 1

what is osteomyelitis

Answer 1

sever infection of bone, bone marrow, & surrounding soft tissue

Question 2

what is the most common organism associated w/ osteomyelitis

Answer 2

staph aures

Question 3

what can cause indirect osteomyelitis (3)

Answer 3

blunt trauma
vascular insufficiency disorders
GI & respiratory infections

Question 4

what can cause direct osteomyelitis (2)

Answer 4

entry via open wounds
foreign body is present

Question 5

what are s/s of acute osteomyelitis (4)

Answer 5

infection duration less than 1 month
pain unrelieved by rest; worsens w/ activity
swelling, tenderness, warmth
restricted movement

Question 6

what are the systemic s/s of acute osteomyelitis (7)

Answer 6

fever
night sweats
chills
restlessness
nausea
malaise
drainage

Question 7

what can diagnose osteomyelitis (7)

Answer 7

bone/soft tissue biopsy
blood &/or wound cultures
WBC count
erythrocyte sedimentation rate
x-rays
bone scans
MRI/CT scans

Question 8

how can we treat acute osteomyelitis (3)

Answer 8

aggressive, prolonged IV antibiotics
cultures or bone biopsy before antibiotics
surgical debridement & drainage of abscess or ulcer

Question 9

how long will Iv antibiotic therapy be

Answer 9

minimum 4-6wks

Question 10

how will we treat chronic osteomyelitis (4)

Answer 10

surgical removal
extended use of antibiotics (IV/PO up to 8 wks)
Acrylic bead chains containing
antibiotics
intermittent or constant antibiotic irrigation of bone

Question 11

what should we assess for in a pt w/ osteomyelitis (13)

Answer 11

restlessness, high spiking temp, night sweats
diaphoriesis, erythema, warmth, edema
restricted movement, wound drainage, spontaneous fractures
increased WBC, pos cultures, increased ESR, presence of sequestrum & involcrum

Question 12

what interventions will we do for these pts (4)

Answer 12

immobilization & careful handling
assess & treat pain
dressing care
proper positioning to prevent complications of immobility