NURS 341 RENAL AND MUSCULOSKELETAL (Accurate
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Terms in this set (119)
What are the causes of low back pain (4)? 1. herniated disk
2. muscle strain/spasm
3. degeneration (osteoarthritis, osteoporosis)
4. spinal stenosis
What are risk factors for low back pain (6)? 1. poor posture
2. overweight
3. smoking
4. pregnancy
5. occupation
6. family history
What are clinical manifestations of low back 1. pain
pain (7)? 2. decreased ROM
3. spasms
4. decreased flexibility
5. sciatic pain
6. numbness and tingling in the legs
7. EMERGENT: incontinence, fever, decreased ability to move,
and parasthesia
How to diagnose low back pain (5)? 1. CT (BEST)
2. MRI
3. EMG (nerve impulses through tissue)
4. myelogram (pressure in spinal cord)
5. x-ray
What assessments should be done for low 1. musculoskeletal
back pain (5)? 2. pain
3. ROM
4. neurological
5. bowel/bladder
what meds to give for low back pain (3)? 1. NSAIDS
2. muscle relaxants
3. narcotics
, what is nursing management for low back bed rest at early stage and may increase actvity gradually
pain?
avoid activities that aggravate pain
PT
complimentary therapies: acupuncture, massage, ice/heat
steroid injection (decrease inflammation)
surgery
what is nursing management for spinal maintain proper alignment of the spine until healing has
surgery? occured
control pain
assess for CSF LEAK
HALO SIGN - dressing has blood with yellow ring - a test
would be positive for glucose
assess CMS (circulation, motion, sensation)
bladder/bowel function
assess bone graft site
monitor for post op complications
what is the pathophysiology of a strain? excessive stretching of a muscle and TENDON tissue
what is the pathophysiology of a sprain? an injury to LIGAMENTOUS structures surrounding a joint
what is the cause of a sprain or strain? wrenching or twisting motion
what are clinical manifestations of a 1. PAIN
sprain/strain (4)? 2. decreased ROM
3. bruising/swelling
4. muscle spasms
how to diagnose a sprain/strain (3)? 1. x-ray (fracture or not)
2. MRI
3. ultrasound
what is treatment for a Spain/strain? rest (stay off of it)
what are complications of a sprain/strain 1. unstable joints
(3)? 2. bursitis (inflammation of the bursa)
3. tendonitis
what are acute interventions for a 1. RICE - rest, ice, compression, elevate
sprain/strain (3)? 2. NSAIDS
3. surgical repair
what is a subluxation? a partial displacement of a joint
Answers To All Questions)
Save
Students also studied
Sherpath Chapter 29- Chest and Abdominal Tr... HESI 366 STUDY GUIDE
348 terms 130 terms
Preview anaphylacticshock Preview FutureRN0911 Preview
Terms in this set (119)
What are the causes of low back pain (4)? 1. herniated disk
2. muscle strain/spasm
3. degeneration (osteoarthritis, osteoporosis)
4. spinal stenosis
What are risk factors for low back pain (6)? 1. poor posture
2. overweight
3. smoking
4. pregnancy
5. occupation
6. family history
What are clinical manifestations of low back 1. pain
pain (7)? 2. decreased ROM
3. spasms
4. decreased flexibility
5. sciatic pain
6. numbness and tingling in the legs
7. EMERGENT: incontinence, fever, decreased ability to move,
and parasthesia
How to diagnose low back pain (5)? 1. CT (BEST)
2. MRI
3. EMG (nerve impulses through tissue)
4. myelogram (pressure in spinal cord)
5. x-ray
What assessments should be done for low 1. musculoskeletal
back pain (5)? 2. pain
3. ROM
4. neurological
5. bowel/bladder
what meds to give for low back pain (3)? 1. NSAIDS
2. muscle relaxants
3. narcotics
, what is nursing management for low back bed rest at early stage and may increase actvity gradually
pain?
avoid activities that aggravate pain
PT
complimentary therapies: acupuncture, massage, ice/heat
steroid injection (decrease inflammation)
surgery
what is nursing management for spinal maintain proper alignment of the spine until healing has
surgery? occured
control pain
assess for CSF LEAK
HALO SIGN - dressing has blood with yellow ring - a test
would be positive for glucose
assess CMS (circulation, motion, sensation)
bladder/bowel function
assess bone graft site
monitor for post op complications
what is the pathophysiology of a strain? excessive stretching of a muscle and TENDON tissue
what is the pathophysiology of a sprain? an injury to LIGAMENTOUS structures surrounding a joint
what is the cause of a sprain or strain? wrenching or twisting motion
what are clinical manifestations of a 1. PAIN
sprain/strain (4)? 2. decreased ROM
3. bruising/swelling
4. muscle spasms
how to diagnose a sprain/strain (3)? 1. x-ray (fracture or not)
2. MRI
3. ultrasound
what is treatment for a Spain/strain? rest (stay off of it)
what are complications of a sprain/strain 1. unstable joints
(3)? 2. bursitis (inflammation of the bursa)
3. tendonitis
what are acute interventions for a 1. RICE - rest, ice, compression, elevate
sprain/strain (3)? 2. NSAIDS
3. surgical repair
what is a subluxation? a partial displacement of a joint
