Med Surgery Exam #3 Study Guide with Complete Solutions
Aka neurovascular check
Pulse
What are the 5p's Pain
Pallor
Paralysis
Paresthesia
Supine is lying flat on your back (Face up)
Positions: Supine and prone
Prone is lying flat on your stomach (Face down)
Tunneling: A narrow tunnel like passage extending from
the wound
Wounds: Tunneling and undermining
Undermining: Skin flap underneath the wound "pocket"
Erythema Redness
Slough Yellow tissue
Exudate Leakage of the slough/yellow tissue
ARDs Acute respiratory distress syndrome
Muscle atrophy Wasting/thinning of muscle mass
Structural changes to your connective and soft tissue that
Contractures
causes them to shorten, stitten and contract
50-70% of pressure ulcers are related to? Contractures
How long after the surgery do you want to get your patient
The day of, if not the day after
up?
Cartilage is lubricated by? Synovial fluid
Progressive degeneration/breakdown of the protective
Osteoarthritis: What is it cartilage between the bone and the joint
*unsymmetrical
Osteoarthritis: Signs and symptoms
,Joint pain
Edema in the joints (joint ettusion)
Morning stittness, limited movement
Joint inflammation
Crepitus (noise around the joints) *
Pain worsens with activity
Increase in pain during humid or moist weather
Which type of joints does OA typically ettect Weight-bearing ones such as the knees, hips, spine
"Wear and tear"
Primary (Idiopathic) osteoarthritis
Develops between age 55-60
Result of an old injury, obesity, genetics, or sedentary
lifestyle
Secondary osteoarthritis
Develops between 45-50
Is osteoarthritis an inflammatory process? No
X-Ray can show narrowing of the joint spaces
Osteoarthritis: Diagnostics
Physical assessment
Subjective & objective data used
Preventative measures such as stopping/controlling activ-
ities that exacerbate it
Change lifestyle, diet(rich in antioxidants such as
fruit/veggies) exercise
, Start with Tylenol, then progress to NSAIDS, ice/heat,
maybe braces
(max dose of Tylenol is 4,000/daily)
Osteoarthritis: Treatment
Goal: Treat with conservative options and progress as
needed
TENS unit, electrical therapy for nerves can send impulses
over the skin to prevent pain receptors from going to the
brain
Topical creams
Osteoarthritis: Treatment continued
Is osteoarthritis curable? No, just pain management
Osteoarthritis : What medication is recommended for pain
Tylenol can be paired with topical creams
to try first and what can you pair it with?
Osteoarthritis: If Tylenol isn't ettective what medication is
NSAIDS
next
GI bleed risk
Osteoarthritis: NSAID use
Risk and what is needed prior to therapy
Needs a CBC, kidney, and liver function test
Osteoarthritis: Patient teaching to reduce risk Maintain a healthy weight & exercise
Arthoplasty Joint replacement used for severe osteoarthritis
Protect from further injury
Restrict activity
Aka neurovascular check
Pulse
What are the 5p's Pain
Pallor
Paralysis
Paresthesia
Supine is lying flat on your back (Face up)
Positions: Supine and prone
Prone is lying flat on your stomach (Face down)
Tunneling: A narrow tunnel like passage extending from
the wound
Wounds: Tunneling and undermining
Undermining: Skin flap underneath the wound "pocket"
Erythema Redness
Slough Yellow tissue
Exudate Leakage of the slough/yellow tissue
ARDs Acute respiratory distress syndrome
Muscle atrophy Wasting/thinning of muscle mass
Structural changes to your connective and soft tissue that
Contractures
causes them to shorten, stitten and contract
50-70% of pressure ulcers are related to? Contractures
How long after the surgery do you want to get your patient
The day of, if not the day after
up?
Cartilage is lubricated by? Synovial fluid
Progressive degeneration/breakdown of the protective
Osteoarthritis: What is it cartilage between the bone and the joint
*unsymmetrical
Osteoarthritis: Signs and symptoms
,Joint pain
Edema in the joints (joint ettusion)
Morning stittness, limited movement
Joint inflammation
Crepitus (noise around the joints) *
Pain worsens with activity
Increase in pain during humid or moist weather
Which type of joints does OA typically ettect Weight-bearing ones such as the knees, hips, spine
"Wear and tear"
Primary (Idiopathic) osteoarthritis
Develops between age 55-60
Result of an old injury, obesity, genetics, or sedentary
lifestyle
Secondary osteoarthritis
Develops between 45-50
Is osteoarthritis an inflammatory process? No
X-Ray can show narrowing of the joint spaces
Osteoarthritis: Diagnostics
Physical assessment
Subjective & objective data used
Preventative measures such as stopping/controlling activ-
ities that exacerbate it
Change lifestyle, diet(rich in antioxidants such as
fruit/veggies) exercise
, Start with Tylenol, then progress to NSAIDS, ice/heat,
maybe braces
(max dose of Tylenol is 4,000/daily)
Osteoarthritis: Treatment
Goal: Treat with conservative options and progress as
needed
TENS unit, electrical therapy for nerves can send impulses
over the skin to prevent pain receptors from going to the
brain
Topical creams
Osteoarthritis: Treatment continued
Is osteoarthritis curable? No, just pain management
Osteoarthritis : What medication is recommended for pain
Tylenol can be paired with topical creams
to try first and what can you pair it with?
Osteoarthritis: If Tylenol isn't ettective what medication is
NSAIDS
next
GI bleed risk
Osteoarthritis: NSAID use
Risk and what is needed prior to therapy
Needs a CBC, kidney, and liver function test
Osteoarthritis: Patient teaching to reduce risk Maintain a healthy weight & exercise
Arthoplasty Joint replacement used for severe osteoarthritis
Protect from further injury
Restrict activity
