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Table Of Contents

SKELETAL SYSTEM
FUNCTIONS OF THE SKELETAL SYSTEM
TYPES OF BONES
1. Long bone
2. Short bones
5. Sesamoid Bone
PARTS OF A BONE
Osteogenic Cells
Osteoblasts
Osteocytes
Osteoclasts
Classification of joints by range of movement
1. Immovable joints (synarthroses)
Classification of joints by structure
2. Slightly movable joints (amphiarthroses)
Six types of diarthroses joints
Joint Type Movement at joint Examples Structure
Top of the neck
Ball and socket
Big toe
Ankle
Knee
Hip
Wrist and Hand
Elbow
Shoulder
READINGS
GOUT
Incidence
Epidemiology
Types of Gout
Stages of Gout
Risk Factors of Gout
Age
Gender
Family History
Medications
Other medications:
Alcohol
Lead Exposure
Organ Transplants
Other Illnesses
Symptoms of Gout
Asymptomatic Hyperuricemia
Acute Gouty Arthritis
Intercritical Gout
Chronic Tophaceous Gout
A risk for tophaceous gout
Hyperuricemia
Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male
Three functional causes of Hyperurecemia:
Increased production of uric acid
Decreased excretion of uric acid
Mixed type
Symptoms of Hyperuricemia
Drugs or treatments to treat hyperuricemia:
Uric Acid
Causes of high uric acid levels include:
Purines
Foods that are high in purine include:
Foods that are low in purine include:
Purines are metabolized into uric acid
Causes
Symptoms
Testing
Treatments
Outlook (Prognosis)
Possible Complications
Prevention
FAMILY BACKGROUND
A) Family Structure
B) Environmental
C) Socio Economic
HEALTH HISTORY
Family Health History
Past Health History
Present Health History
DEVELOPMENTAL DATA
A. Havighurst¶s Theory of Developmental Task
y ACHIEVING ADULT CIVIC AND SOCIAL RESPONSIBILTY
y ASSISTING TEENAGE CHILDREN TO BECOME RESPONSIBLE AND HAPPY
ADULTS
y RELATING ONESELF TO ONE¶S SPOUSE AS A PERSON
y ACCEPTING AND ADJUSTING TO THE PHYSIOLOGIC CHANGES OF
MIDDLE AGE
y ESTABLISHING AND MAINTAINING AN ECONOMIC STANDARD OF
LIVING
y DEVELOPING ADULT LEISURE TIME ACTIVITIES
ANALYSIS:
B. ERIK ERIKSON¶S PSYCHOLOGICAL DEVELOPMENT THEORY
PATTERNS OF FUNCTIONING
Eating Pattern
Before illness During Illness Analysis
Before
During
Drinking Pattern
Bladder Elimination
Bowel Elimination
Bathing Patterns
Sleeping Patterns
LEVELS OF COMPETENCIES
Physical Competency
Emotional Competency
Social Competency
INTELLECTUAL COMPETENCY
SPIRITUAL COMPETENCY
PHYSICAL ASSESSMENT
I. General Appearance
A. Head
B. Hair
C. Eyes
D. Ears
E. Nose
F. Mouth
G. Neck
H. Chest
I. Abdominal
J. Upper extremities
K. Lower
I. Skin
ON GOING APPRAISAL
First day of appraisal
Second day of appraisal
Third day of appriasal
Fourth day of appraisal
MEDICAL MANAGEMENT
X-ray/UTZ
Chest AP
KNEE APC
Analysis:
Hematology
CBC
DIFFERENTIAL COUNT
Chemistry and Lipid Profile
TEST RESULT RANGES INTERPRETATION
Chemistry
Lipid Profile
Urine Analysis
TEST RESULT INTERPRETATION
Physical Exam
Chemical Exam
Urinary Cells
Urinary Crystals
ECG
Regular Sinus Rhythm
Within normal limits
DIET THERAPY
y Low Purine Diet
y NPO (Nothing per Orem)
Nursing Responsibilities Rationale
INTRAVENOUS THERAPY
1. Plain Normal Saline Solution 1000 cc x 120
Date ordered: February 11, 2010
Date Administered: February 11, 2010
2. D5NSS 1 liter x 120
Date ordered: February 13, 2010
Nursing Responsibilities:
Responsibilities Rationale
Blood transfusion
Nursing Responsibilities
Nursing responsibilities Rationale
Debridement
Surgical debridement
Purpose
Preparation
Aftercare
DRUG STUDY
1. Generic Name: Ciprofloxacin
Brand Name: Cipro
Adverse effect:
Nursing Responsibilities Rationale
2. Generic Name: Clindamycin
Brand Name: Cleocin
Adverse Effect:
Brand Name: Ultram
Classification: Analgesics
Dosage; Route; Frequency: 40 mg x 1 dose /10 am
Brand Name: toradol
Desired Effects: to relieve pain
9. Generic Name: Celecoxib
Brand Name: Celebrex
NURSING CARE PLAN
NURSING INTERVENTIONS RATIONALE
NURSING EVALUATION:
NURSING INTERVENTION RATIONALE
NUSING INTERVENTIONS RATIONALE
GENERAL EVALUATION:
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FINAL CASE-GOUT...print

FINAL CASE-GOUT...print

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Published by Velz Noli

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Published by: Velz Noli on Feb 16, 2011
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