Osteomyelitis

Question 1

osteomyelitis is a severe infection where?

Answer 1

bone, bone marrow, surrounding soft tissue

Question 2

most common organism the causes is what?

Answer 2

staphylococcus aureus

Question 3

indirect entry (hematogenous)

Answer 3

-young boys
-blunt trauma
-vascular insufficiency disorders
-GI and resp. infections

Question 4

direct entry via

Answer 4

open wound

Question 5

another mechanism that can cause OM

Answer 5

foreign body presence

Question 6

clinical manifestations duration acute OM

Answer 6

-infection of <1 mo.

Question 7

clinical manifestations acute OM local

Answer 7

-pain unrelieved by rest
-worsens w activity
-swelling, tenderness, warmth
-restricted movement

Question 8

clinical manifestations acute OM systemic

Answer 8

-fever
-night sweats
-chills
-restlessness
-nausea
-malaise
-grainage (late)

Question 9

acute care

Answer 9

-IV antibiotics 4-6 wks. min. (at home/nursing facility)
-cultures or bone biopsy B4 antibiotics
-surgical debridement

Question 10

chronic care

Answer 10

-surgical removal
-extended use of antibiotics, IV or oral (up to 8 weeks)
-acrylic bead chains
-intermittent/constant antibiotic irrigation of bone

Question 11

nursing interventions objective data

Answer 11

-restlessness
-high spiking temp
-night sweats
-diaphoresis
-erythema
-warmth
-edema
-restricted movement
-wound drainage
-spontaneous fractures
-increase WBC
-positive cultures
-high ESR
-presence of sequestrum and involcrum

Question 12

health promotion

Answer 12

-control infections already in body
-instruct regarding local and systemic manifestations (monitoring and reporting)

Question 13

health promotion
susceptible adults

Answer 13

-immunocompromised
-wear orthopedic prosthetic devices
-vascular insufficiency