Professional Documents
Culture Documents
Prepared By: Caroline V. San Diego MAN, RN
Prepared By: Caroline V. San Diego MAN, RN
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OA
A dvanced age, Degenerative Joint disease
P revious jt damage
O besity
W ear and tear- of JOINT CARTILAGE
W t. bearing joints- KNEE, Lumbar, CERVICAL
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S/S
• Pain, assymetrical, non systemic, localized
• Stiffness of joints <30mins in A.M
• Heberden’s and Bouchard’s nodes
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Management
Wt reduction
Topical analgesics
Intra-articular steroids
PARACETAMOL, NSAIDS
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NSAID
• COX 2 INHIBITORS
Celecoxib (Celebrex)
Etoricoxib (Arcoxia)
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ra
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Rheumatoid arthritis
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• Systemic - women
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Which client is most at risk for
developing RA?
• A. 25 yo woman
• B. 40 year old man
• C. 65 year old woman
• D. 70 year old man
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R
A- POLYARTICULAR
Nodule
Factor, ESR, (+) ANA
aynaud’s phenomenon
Autoimmune, chronic- (remis, exacer)
Gender specific- girls
Systemic, Symmetrical, bilateral
Stiffness >30 mins 15
oa
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MGT
• COX-2 INHIBITORS
• Celecoxib- celebrex
• Etoricoxib- Arcoxia
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Nrsg. MGT
Splints to immobilize affected extremity
COLD packs - acute phase of pain
HEAT application - inflammation subsides
Client education- remission. Exacerbation
Nutrition treatment
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Gout
• CAUSE:
Purine metabolism d/o
Leads to Uric Acid
Involve 1st MTP joint-
MONOARTICULAR
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Meta tarso phalangeal joint
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• Great toe
• TOPHI-UA CRYSTALS- JOINTS, EARS, KIDNEY
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1. Colchicine
Decrease inflammation
Used aCute attack
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2. Allopurinol
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3. Probenecid
enhance excretion of UA
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DIET-food to avoid
• Foods high in PURINE
Alcohol, Anchovies
Shellfish
Organ meats
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Osteoporosis
OSTEOCLASTIC / RESORPTION
BMD
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ASSESSMENT
• Low stature
• Fracture
• Bone pain
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• DEXA-scan
Detects bone mass density
• X-ray studies- fracture
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Medical Mgt: Osteoporosis
• Diet therapy
• Drugs
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Calcium supplement
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Bisphosphonates
Ibandronate
SE: esophageal ulcers
Take- empty stomach in am, full glass H20
Sit upright 30 mins after intake
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Calcitonin
Sq
I M
N asal spray
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OSTEOPOROSIS : NI
• Prevent injury
• Isometric exercise to strengthen
trunk muscles
• AVOID bending, strenuous lifting
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