Sjogren's Syndrome:
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Lymphocytic infiltration leads to failure of lacrimal and salivary glands.
Acute hematogenous infection
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from bacteremia, underlying disease or non-penetrating trauma.
Compression fractures:
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Usually associated with osteoporosis and metastatic bone cancer. It causes
severe pain, kyphosis and occasional neurologic compromise. Surgical
management includes: vertebroplasty & fusion
Sjogren's Syndrome: Nursing Management & Patient education:
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No treatment
Manage symptoms
Artificial tears
Increase humidity
Dont smoke
Artificial saliva
Oral health
Chronic osteomyelitis prolonged
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, Infection can result from mis-dx or inadequate tx.
Amputations: Nursing Management
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Monitor for decreased tissue perfusion
Manage acute/chronic pain
Opioid doesn't work for phantom limb pain
IV calcitonin
Reduces prostaglandins
Reduces proinflammatory cytokines
Reduces irritation of damaged sensory nerves
Antispasmodic
Muscle relaxants
Antidepressants
Promote mobility
PT/ OT
Muscle strengthening before surgery
Prevent infection
Prophylactic ABX
Promote self-esteem
Limb & prosthetic care
Support resources
Skilled care/ rehab
VTE: Treatment
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, Compression stockings (DVT)
Anticoagulants
Antithrombotic
Vertebroplasty
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bone cement injected through the skin directly into the fracture site to
provide stability and immediate pain relief.
Osteoporosis: Labs & Diagnostics
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Serum Ca → 9-10.6
Vit D → 25-80 mg
These should be tested annually in all over 50 and post menopausal
women.
Diagnostics:
X- Rays → Spine, long bones, can show decreased density but only after a
large amount of bone loss has occurred. It can also show fractures.
BMD testing → All post menopausal women and men should be tested
over 50. In DXA scanning the spine and hip are most often assessed.
**Remove any metal before the scan
Vertebral Imaging → All post menopausal women and men should be
tested over 50. Using lateral spine X-rays or vertebral fracture assessment.
**MRI is the most promising imaging test for determining bone quality.
Ankylosing Spondylitis: Treatment
Give this one a try later!
Lymphocytic infiltration leads to failure of lacrimal and salivary glands.
Acute hematogenous infection
,Give this one a try later!
from bacteremia, underlying disease or non-penetrating trauma.
Compression fractures:
Give this one a try later!
Usually associated with osteoporosis and metastatic bone cancer. It causes
severe pain, kyphosis and occasional neurologic compromise. Surgical
management includes: vertebroplasty & fusion
Sjogren's Syndrome: Nursing Management & Patient education:
Give this one a try later!
No treatment
Manage symptoms
Artificial tears
Increase humidity
Dont smoke
Artificial saliva
Oral health
Chronic osteomyelitis prolonged
Give this one a try later!
, Infection can result from mis-dx or inadequate tx.
Amputations: Nursing Management
Give this one a try later!
Monitor for decreased tissue perfusion
Manage acute/chronic pain
Opioid doesn't work for phantom limb pain
IV calcitonin
Reduces prostaglandins
Reduces proinflammatory cytokines
Reduces irritation of damaged sensory nerves
Antispasmodic
Muscle relaxants
Antidepressants
Promote mobility
PT/ OT
Muscle strengthening before surgery
Prevent infection
Prophylactic ABX
Promote self-esteem
Limb & prosthetic care
Support resources
Skilled care/ rehab
VTE: Treatment
Give this one a try later!
, Compression stockings (DVT)
Anticoagulants
Antithrombotic
Vertebroplasty
Give this one a try later!
bone cement injected through the skin directly into the fracture site to
provide stability and immediate pain relief.
Osteoporosis: Labs & Diagnostics
Give this one a try later!
Serum Ca → 9-10.6
Vit D → 25-80 mg
These should be tested annually in all over 50 and post menopausal
women.
Diagnostics:
X- Rays → Spine, long bones, can show decreased density but only after a
large amount of bone loss has occurred. It can also show fractures.
BMD testing → All post menopausal women and men should be tested
over 50. In DXA scanning the spine and hip are most often assessed.
**Remove any metal before the scan
Vertebral Imaging → All post menopausal women and men should be
tested over 50. Using lateral spine X-rays or vertebral fracture assessment.
**MRI is the most promising imaging test for determining bone quality.
Ankylosing Spondylitis: Treatment
