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