musk l2

biophosphates + name

(alenodrate (fosamax) can cause esophagus disorders ADM upright (30mins)

OP manifestations

10-30% bone lost by age 65 2-3 in lost kyphosis or dowagers hump chronic back pain

OP meds

CALCITONIN (miaclin) biophosphates (alendoate, fosamax) -selective estrogen receptor modulator PTH

osteoarthritis most common form of

DJD degenerative joint disease

Which group is at the greatest risk for osteoporosis?

European American women

OM management

IV ATB 4-6 weeks surgical detriment, amputation remove necrotic bone

Which of the following presents with an onset of heel pain with the first steps of the morning?

Plantar fasciitis

OM most common inf name

STAPH a proteus PSEUDO ECOLI

A patient is having low back pain. What position can the nurse suggest to relieve this discomfort?

Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees

Morton neuroma is exhibited by which clinical manifestation?

Swelling of the third (lateral) branch of the median plantar nerve

A nurse is performing discharge teaching for an elderly client with osteoporosis. Which instruction about a calcium supplement should the nurse include?

Take the supplement with meals or with orange juice.

OP risk factors

age >30 0.7% bone loss post meno >50yr >1.3%/yr declining gonadal adrenal glands impaired protein metabolism smoking drinking, caffien long term heparin or steroids

he nurse is preparing a client for a surgical procedure that will allow visualization of the extent of joint damage of the knee for a client with rheumatoid arthritis and also obtain a sample of synovial fluid. What procedure will the nurse prepare the client for?

arthroscopy

OA path

articular cartilage breakdown--progresive damage to underlying bone -formation of osteophytes (bone spurs) into joint space

total hip arthroplasty is used for

bleeding (big bone) dislocation of hip prosthesis DVT inf heel pressure injury

A nurse is caring for a client with osteomyelitis. What complication should the nurse consider that the client is at risk to develop?

bone abcess formation

most commonly mestatic (secondary malignant)

bone tumor

om DIAG

bone/soft tissue biopsy cultures XRA bone scan MRI/ ct

what hormone inhibits bone reabsorption and promotes bone formation

calcitonin

knee replacement

continuous passive motion (CMP); so doesn't contract ROM and PT

The nurse is asked to explain to the client the age-related processes that contribute to bone loss and osteoporosis. What is the nurse's best response?

decrease in estrogen

OM common causes

extension of soft tissue infection direct contamination blood borne

Morton's Neuroma

feet inflammation of the nerve typically between the 3rd and 4th metatarsals throbbing and burning pain

calcitonin (miaclin)

from slamon inhaled taken >1ye=neutralizing antibodies

OM PATHO

inf of bone, bone marrow, surrounding soft tissue

how to manage tendonitis

intermittent application of heat and ice

what to do to prevent dislocation of hip prosthesis + inf

keep hip in ABDUCTION when turning ADDUCTION when transferring prophylactic ATB pre and post op

bone tumor sites that metastasize to bone

kidney prostate lung breast ovary thyroid

OP diagnostics

lab values- all phos, CA,PH -bmd DUAL energy xray absorptiometry (DXA)-Most common, q1yr, lighter xray -quant U/S

Lifestyle risk factors for osteoporosis include

lack of exposure to sunlight a diet low in calcium and vitamin D, cigarette smoking, consumption of alcohol and/or caffeine, and lack of weight-bearing exercise.

OM manifestations

localized pain edema erythema low grade fever INC WBC, fast ESR RATE (erythrocyte sediment rate)

osteomalcemia labs

low phosphorus and serum calcium

what disease Is idiopathic , joint wear and tear

oa

OA risk factors

obese, male, genetics, certain sports

most prevalent bone dis

osteoporosis

OA clinical manif

pain,. stiffness, functional impairment -mornng stiffness (30 mins) most often in wt bearing jnts nodes (heberdens, Bouchard)

malignant primary tumors prognosis

pretty good bc slow growing ex-sarcomas

selective estrogen receptor modulators+ name

raloxifene (Evista) -mimics estrogen on bone) -antiestrogenic effect on breast and endometrium

Clients with fat emboli will have a

rash and breathing complications

OP path

rate of breakdown>rate of formation= loss of bone mass

plantar fasciitis plan of care

stretching the foot and achlles

carpel tunnel indicators

tap tap-sharp pain when tapped (tines) phalans sign-back of hands together

PTH > blast + name

teriparatide (forteo) ince bone formation only use if severe

A client with low back pain is being seen in the clinic. In planning care, which teaching point should the nurse include?

use large leg muscle