Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NSG 320 (mcp) > Rheumatoid Arthritis > Flashcards

Rheumatoid Arthritis Flashcards

1
Q

Describe Rheumatoid Arthritis (RA)

Characterized by periods of ___ and ____.

A

Chronic, progressive, systemic inflammatory autoimmune disease
Autoantibodies, Rheumatoid factors (RF’s), attack healthy tissue, especially synovium
Periods of Remission and Exacerbations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rheumatoid Arthritis (RA) Cause:

What is suspected to trigger RA? (2)

A

UNCLEAR! Combination of:

  1. Environmental*
  2. Genetic*
  3. Gender* (females)

Triggers:

  1. Infections
    - Epstein Barr Virus (EBV aka mono)
  2. Hormones?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What can trigger exacerbations of Rheumatoid Arthritis (RA)?

A

Stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Is there a Cure for Rheumatoid Arthritis (RA)?

A

Nope, but if treated early, debilitating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Rheumatoid Arthritis (RA) affects joint _____

A

SYMMETRICALLY!**

-distinguishing characteristic from osteoarthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Assessment + Rheumatoid Arthritis (RA)

Onset of Sxs?

A

Onset can be rapid/acute or slow/progressive

Onset more commonly occurs in winter months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Assessment + Rheumatoid Arthritis (RA)

Describe how Sxs initially present:

A

Sxs may be vague at onset (weeks to months)

-weakness, fatigue, weight loss, low-grade fever, joint inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Assessment + Rheumatoid Arthritis (RA)
Describe the Early Presentation of RA:
What joints are affected first?

A
  1. S/S of joint inflammation
    -slightly reddened, warm, tender, swollen, stiff
    -Bilateral and Symmetric
    -Migratory arthritis in early disease
    More commonly affects upper extremity joints first
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Assessment + Rheumatoid Arthritis (RA)

Describe the Late Presentation of RA:

A

Worsened joint inflammation with more joint involvement

  1. Joint Effusions
  2. gel phenomenon
  3. Spindle-like fingers
  4. Muscle atrophy (decreased ROM)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What joints may become involved if RA is left untreated and becomes severe?

A
  1. TMJ

2. Cervical joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What should we suspect if a patient presents with one hot, swollen, painful joint?

A

Joint INFECTION!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What type of cyst is associated with Rheumatoid Arthritis (RA)?

A

Baker’s cyst: fluid-filled; enlarged popliteal bursae

“Rheuma’s got a Baker’s dozen”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Systemic Inflammation resulting from Rheumatoid Arthritis (RA) is due to inflammation of ______ tissue in other parts of the body.

A

CONNECTIVE tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 3 main organs affected by systemic inflammation caused by Rheumatoid Arthritis (RA)?

A

HEART
LUNGS
EYES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Sjogren’s Syndrome and what is the best intervention?

A

Dry eyes, xerostomia, or vaginal dryness

LUBRICATION!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What else is important to assess in patients with Rheumatoid Arthritis (RA)? (3)

A
  1. QUALITY OF LIFE
    - mobility, fatigue, physical appearance
  2. SUPPORT
  3. EXACERBATIONS
    - physical and emotional stress
17
Q

Arthrocentesis can be done for ______ and also _____

A

Diagnosis and Treatment (relieve pressure)

18
Q

Post-care considerations following an Arthrocentesis

A
  1. Rest
  2. Ice
  3. Oral analgesics
19
Q

Interventions + Rheumatoid Arthritis (RA):

What are the 5 main Interventions for Rheumatoid Arthritis (RA)?

A
  1. Pain
  2. Infection
  3. Mobility
  4. Fatigue
  5. Psychosocial

Promote setting priorities for balance, rest, and independence

20
Q

Interventions + Rheumatoid Arthritis (RA):

Infection Interventions:

A
  1. Educate pt that drugs used will increase the risk of infection
  2. Promote HYGIENE!!
  3. Avoid large crowds
21
Q 
Interventions + Rheumatoid Arthritis (RA):
Pain interventions (5)
A
  1. Rest (Balance & Set priorities)
  2. Position
  3. Ice
  4. Heat/ Paraffin
  5. Hot Shower in the morning
22
Q

What intervention can help with gel phenomenon?

A

Hot showers first thing in the morning

“Get steamy RAby”

23
Q 
Interventions + Rheumatoid Arthritis (RA):
Mobility interventions (3)
A
  1. Occupational therapy referral
  2. Assistive devices
  3. PT referral
24
Q 
Interventions + Rheumatoid Arthritis (RA):
Fatigue Interventions (2)
A
  1. Pace activities
    - rest and activity
  2. Set priorities
25
Q 
Interventions + Rheumatoid Arthritis (RA):
Psychosocial Interventions (3)
A
  1. Coping
    - help them to find HEALTHY coping mechanisms
  2. Body Image
  3. Support
26
Q

Interventions + Rheumatoid Arthritis (RA):

CAM Interventions:

A
  1. Acupuncture
  2. Hypnosis
  3. Imagery (virtual reality)
  4. Stress Management
  5. Proper Nutrition
  6. Supplements (chondroitin, hyaluronate)

NSG 320 (mcp) (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions