Osteomyelitis Flashcards
Osteomyelitis assessment
Bone pain
Fever
Erythema (heat in area)
Elevated WBC >10
ESR > 20
Possible slow healing ulcerations on extremities
Osteomyelitis priority
Antibiotics
Antibiotics for osteomyelitis
4-6 week course for acute case
May be more than one prescribed
Contact precautions (educate pt and visitors)
Teacher family wound care, iv admin at home, safety, dose completion
Education on PICC care and s/s of complications
Osteoporosis risk factors
A alcohol
C corticosteroid use
C calcium low
E estrogen low
S smoking
S sedentary lifestyle
Osteoporosis labs
Ca 9-10.5
Vitamin D 25-80
Osteoporosis or osteopenia
Priority problem
Potential for fracture
Treatment/ education for osteoporosis
Nutrition
Lifestyle
Drug therapy
Pain management
Self management education
Health care resources
Calcium with vitamin d nursing implications
Take with fluids to avoid stones
Monitor for increased calcium level
Bisphosphates nursing implications
Take w/ full glass of water before food or meds to prevent esophagitis/ulcers
Remain upright for 30 minutes after taking
Dental exam before therapy to avoid osteonecrosis
Selective estrogen receptor modulators
Monitor LFTs
Risk for VTE
Calcitonin nursing implications
Check for salmon allergy
Intranasal, May cause nose bleed
Used when 5 year post menopause
3 joint types
Synarthroidal (immovable)
Diarrhroidal aka synovial (moveable)
Amphiarthroidal ( slightly moveable)
Muskuloskeletal interventions
- Reinforce exercise
- Prevent pressure
- Teach body mechanics
- Assess for ambulatory devices
- Provide moist heat to promote mobility
- Assess ADL ability
- Assess for falls
- Do not rush patient
Significance of proximal and distal weakness
Proximal weakness: may be myopathy ( problem with muscle tissue)
Distal weakness: may be problem w/ nerve tissue ( neuropathy)
