front 1 Rotator cuff tear | back 1 THE PATIENT WILL NOT BE ABLE TO EXTERNALLY ROTATE THE SHOULDER,OR PERFORM ABDUCTION |
front 2 MANAGEMENT OF ROTATOR CUFF TEAR | back 2 REST,SLING IF ORDERED,ANTI INFLAMMATORY THERAPY |
front 3 ACL INJURY | back 3 pop, rapid swelling,instability (give out), limited extension |
front 4 How do you diagnose acl injury | back 4 mri,Arthroscopy is performed at which time the repair may be done.Grafting may be done if there is complete tearing |
front 5 How do you manage an acl injury? | back 5 brace, pain/swelling control, rehabilitation plan |
front 6 Exercise for Acl injury | back 6 Isometric exercises are prescribed in the recovery period including quadriceps bent knee exercises and foot exercises A long leg brace with fixed knee flexion may be used |
front 7 meniscal injury | back 7 JOint. pain, catching, locking , clickking |
front 8 Management for meniscal injury | back 8 pain swelling control,physical therapy as order Arthroscopy may repair or trim tear |
front 9 Achilles tendon rupture | back 9 sudden, posterior ankle/calf pain; cannot stand on toes |
front 10 Bursitis | back 10 THE SACLIKE STRUCTURES THAT LINE FREELY MOVEABLE JOINTS FROM OVER USE OR PRESSURE |
front 11 WHEN YOU HAVE BURSITIS WHAT HURTS | back 11 LOCALIZED PAIN, SWELLING AND TENDERNESS |
front 12 MANAGEMENT FOR BURSITIS | back 12 REST,ICE, ACTIVITY MODIFICATION, ANTI INFLAMMATORY THERAPY, INJECTIONS MAY BE CONSIDERED |
front 13 BUNION THE COMMON FOOT PROBLEM | back 13 PAINFUL SWELLING OF THE BURSA THAT OCCURS IN THE GREAT TOE, AT THE METATARSAL JOINT, |
front 14 WHAT CAN CAUSE PEOPLE TO GET BUNIONS? | back 14 HEREDITARY, FOOTWEAR THAT COMPRESSES TOES |
front 15 HOW DO YOU MANAGE HAVIG BUNIONS | back 15 WIDER SHOES, PADDING, PAIN CONTROL |
front 16 IF BUNION SUPER BADDDDD | back 16 YOU WILL GET SURGERY WHEN PAIN AND FUNCTION IMPAIRMENT ARE SIGNIFICANT |
front 17 CARPAL TUNNEL SYNDROME | back 17 COMPRESSION OF THE MEDIAN NERVE AS IT PASSES THROUGH THE CARPAL TUNNEL IN WRIST |
front 18 WHAT ARE SIGNS OF CARPAL TUNNEL SYNDROME | back 18 PAIN TINGLING OFTEN AT NIGHT |
front 19 HOW DO YOU DIAGNOSE CARPAL TUNNEL SYNDROME | back 19 PHYSICAL EXAMINATION, COMPRESSION TEST, ELECTROMYOGRAPHY . |
front 20 HOW DO YOU MANAGE CARPAL TUNNEL | back 20 SPLINT IN NEUTRAL , ACTIVITY MODIFICATION, INJECTION OR SURGER IF IT IS SEVERE |
front 21 WHAT ARE CAUSES OF FRACTURES | back 21 TRAUMA,BONE WEAKNESS, EX OSTEOPOROSIS |
front 22 WHAT IS A FRACTURE | back 22 IT IS A BREAK |
front 23 WHAT. HAPPENS TO THE BODY WITH A FRACTURE | back 23 TISSUE INJURY,BLEEDING,POSSIBLE PERFUSION COMPROMISE |
front 24 WHat are risk factors to hurting your achilles tendon | back 24 Diabetes, inflammatory disease,Medications like (Cipro) SIde effect can cause tendonitis |
front 25 Management of Achilles tendon Rupture | back 25 immobilization, or surgery followed by casting, rehabilitation after (6to8 weeks) |
front 26 HOW THE YOU FRACTURE WITH INTERNAL FIXATION | back 26 PINS, NAILS, OR METAL PLATES TO STABALIZE THE POSITION OF THE TWO BROKEN ENDS, OPEN REDUCTION AND INTERNAL FIXATION,IV ANTIBIOTICS AND RISK FOR INFECTION IS STANDARD |
front 27 NURSING CARE FOR INTERNAL FIXATION | back 27 maintain good alignment of effected leg, prevent complications of immobility control pain |
front 28 Fractures with external Fixation | back 28 Massive open fractures with extensive soft -tissue damage, infected fractures that do not heal properly |
front 29 Examples of external fixation fracture examples | back 29 MUltiple traumas such as burns,chest injury, or head injury. |
front 30 footdrop | back 30 peroneal nerve damage unable to dorsiflex foot |
front 31 What happens in time with osteoarthritis | back 31 The joints become thickend and withstand weight poorly causing more damage to the cartilage |
front 32 What do people with osteoarthritis produce less off | back 32 They produce less collagen to strengthin and protect joints |
front 33 What are risk factors for osteoarthritis | back 33 Heredity, aging, female gender, obesity, previous joint injury and recreational occupational usage |
front 34 What is osteoarthritis etiology | back 34 non inflammatory degenerative joint disease that can affect any weight bearing joint |
front 35 What are causes of footdrop | back 35 improper positioning , prolonged immobility pressure |
front 36 what can prevent footdrop | back 36 footboard, proper alignment, rom exerciss |
front 37 osteoarthritis with pain | back 37 Asymmetrical degenerative joint disease cartilage break down in the joints pain pain worse with use; brief stiffness after inactivity, joint deformity |
front 38 What is management for osteoarthritis ? | back 38 pacing, strengthening, low impact exercise, weight management; heat/cold/ analgesics as ordered |
front 39 what can you do for pain with osteoarthritis | back 39 give them salicylates, asparin, or nsaid ibrophen |
front 40 What happens with Rheumatoid arthritis | back 40 Symmetric joint swelling and warmth, Autoimmune inflammatory joint disease with systemic effect and prolonged morning stiffness and fatigue |
front 41 What is the nurse goal with rheumatoid arthritis | back 41 Reduce inflammation and preserve function |
front 42 How does the nurse care for a patient with rheumatoid arthritis | back 42 balance rest and exercise aimed at pain relief, heat/cold applications; splints during flare ups, monitor medication ordered |
front 43 what should you teach with rheumatoid arthritis | back 43 Teach infection precautions with immunosuppressive therapy |
front 44 what are the first line of meds for rheumatoid arthritis | back 44 IBUPROfen ,salicylaytes,costeroids |
front 45 long term steroid use with rheumatoid arthritis | back 45 Long term effects diminish over time requiring increase of the dose to obtain the same results which leads to increase risk of diabetes mellitus, osteoporosis, hypertension, acne, cataracts and weight gain |
front 46 diagnostics for osteoporosis | back 46 xray, dexascan and reported is the t score |
front 47 signs and symptoms of lyme disease | back 47 flu like bull eye rash pain and stiffness in joints and muscles 1-2 weeks |
front 48 lyme disease | back 48 bite of a deer tick, spiroche, |
front 49 nursing management for osteoporosis | back 49 Teach the benefits of a healthy lifestyle, need for calcium supplements, and weight bearing exercise |
front 50 foods you. should eat with osteoporosis | back 50 Diary products are the best source of calcium, cheese, yogurt, sardines anchoives are also sources of calcium |
front 51 goals for osteoporosis | back 51 stop bone density loss, increase formation, prevent fractures, estrogen replacement therapy, adequate dietary and supplemetal calcium and vitamin d |
front 52 what to monitor with medications and osteoporosis | back 52 bisphosphonate take with water; remain upright, report swallowing pain or severe heartburn |
front 53 t score< -2.5 | back 53 osteoporosis |
front 54 t score -1.0 to -2.5 | back 54 osteopenia |
front 55 How do you manage osteoporis | back 55 exercise vitamin d and fall prevention |
front 56 WHats osteoporosis | back 56 decreased bone density which increases the fracture risk |
front 57 If an elderly patient has gout | back 57 and their creatine clearance should not take allopurinol |
front 58 if you have gout you should stay away from what ? | back 58 High purine foods and increase fluid intake to 2000 to 3000cc |
front 59 signs and symtoms of gout | back 59 Tight redden skin over an inflamed, edematous joint accompanied by elevated temperature and extreme pain the joint |
front 60 Patient teaching with gout | back 60 hydration, diet changes, limit alcohol |
front 61 gout | back 61 sudden sever pain, swelling, redness often the great toe |
front 62 treatment for lyme disease | back 62 oral antibiotics doxycline,ceforime if treated 2 to 12 weeks later can lead to stage 2 carditis meningitis,peripheral neuritis |
front 63 paget disease and bone tumors | back 63 abnormal remodelig (weakbones) pain and fracture risk , bone tuors pain swelling and warmth |
front 64 diagnostics for pagets disease | back 64 xray, usually diagnosed and the time of fracture 24 hour urine presence of hydroxyproline prescence indicates osteoclastic activity |
front 65 nursing management for paget disease | back 65 firm mattress may relieve back pain,light brace or corset, avoid lifting and twisting proper body mechanics |
front 66 safety focus for total hip replacement | back 66 its ok to lay on your operated side for 3 months, you should not cross your legs put a pillow between legs when rolling over or lie on your side you can bend hip but not beyond a 93 angle avoid sittiing in low chairs |
front 67 treatment pajet end get disease | back 67 surgery,radiation,chomotherapy |
front 68 total hip replacement safety focus | back 68 Weight bearing status determined by surgeon may be non weight bearing or 25 and up full weight bearing or 25 percent dependent on prothesis use |
front 69 joint replacement post opp joint replacement | back 69 heparin to prevent dvt,may or maynot be weight bearing |
front 70 whats the primary reason for joint replacemnt | back 70 Is to relieve the chronic pain |
front 71 Total joint replacement | back 71 neurovascular checks and pain control early mobility per order , (atelectasis)- means fluid in ungs |