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CMN 574 Unit 2 Exam Questions and Answers 100% Solved | Graded A+ $11.99   Add to cart

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CMN 574 Unit 2 Exam Questions and Answers 100% Solved | Graded A+

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CMN 574 Unit 2 Exam Questions and Answers 100% Solved | Graded A+ How to evaluate the patient with arthritis... - Joint pattern -Inflammation? -How many joints are involved? -Which joints are affected? Presence or absence of extra-articular manifestations? -Fever -Rash -Nodules Examining ...

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  • October 31, 2024
  • 56
  • 2024/2025
  • Exam (elaborations)
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  • CMN 574
  • CMN 574
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CMN 574 Unit 2 Exam Questions and

Answers 100% Solved | Graded A+


How to evaluate the patient with arthritis... - ✔✔Joint pattern

-Inflammation?

-How many joints are involved?

-Which joints are affected?

Presence or absence of extra-articular manifestations?

-Fever

-Rash

-Nodules

Examining synovial fluid - ✔✔Most joints are easily aspirated

The aspirating needle should never be passed through cellulitis or any type

of skin disorder

A smaller gauge needle can be used for INR < 3.0

Clarity of the fluid

Non-inflammatory fluid is clear

Mild inflammatory fluid is translucent

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Purulent fluid is opaque

Normal fluid-200 WBC

Non-inflammatory fluid-WBC < 2K

Inflammatory fluid-WBC 2K-75K

Purulent fluid-WBC 100K

Bleeding disorders or a traumatic aspiration can cause a bloody

appearance.

Osteoarthritis diagnosis - ✔✔The most common form of joint disease

Develops in men more than women

Degeneration of the cartilage and by hypertrophy of bone

Obesity is a risk factor

Osteoarthritis Prevention & Treatment - ✔✔Prevention

Weight reduction and normal Vitamin D levels

Treatment

Splinting of the hands

Weight loss

Regular exercise

Acetaminophen is first line treatment for mild osteoarthritis

NSAIDS

Injections and Surgery

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Non-steroidal Anti-Inflammatory Drugs (NSAIDS) for arthritis - ✔✔-Gastric

ulcer, perforation, and GI hemorrhage are the most serious complications

of NSIADS usage

-Proton Pump inhibitors should be used in conjunction with NSAIDS use to

reduce the risk of GI bleeding

-Use cautiously in patients over the age of 70, on anticoagulant therapy,

taking corticosteroids, h/o peptic ulcer disease and alcoholism. -

Intra-articular Injections & Surgery - ✔✔Triamcinolone 20-40mg to the knee

or hip may be given 4 times a year

Injections not recommended for osteoarthritis of the hand

Total hip and knee replacements are a good choice of treatment for

patients with ambulation restrictions due to pain from osteoarthritis

Gouty Arthritis - ✔✔-Hereditary, men over 30 years of age

-Acute onset

-Usually monoarticular joint involvement

-Involves first metaphalangeal(MTP) joint

-Hyperuricemia-serum uric acid level > 6.8

*Uric acid nephrolithiasis is common in 5-10% of the patients with uric acid

level > 13mg/dL.

MTP joint of the great toe is the most susceptible joint - podagra

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
During an acute attack the WBC count is elevated

Patients with gout have an increased incidence of HTN, DM, CKD,

Hypertriglyceridemia and atherosclerosis

Gouty Arthritis Treatment - ✔✔-Great response to oral NSAIDS

Naprosyn 500 mg BID

Indomethacin 25-50 mg every 8 hours (tough on stomach)

-Colchicine: Loading dose 1.2 mg followed by 0.6 mg one hour later then

0.6 mg QD or BID for prophylaxis

-Xanthine Oxidase Inhibitors-lower Plasma uric acid levels by blocking the

final enzymatic steps of uric acid production

-Allopurinol-100 mg PO QD and can be titrate up every 2-5 weeks. The

usual dose to decrease symptoms is 300 mg PO QD with a max dose of

800 mg PO QD. Use cautiously with CKD patients and will cause a rash in

20% of patients taking this drug with Ampicillin

-Febuxostat-40 mg PO QD and if target acid level is not obtained my be

increased to 80 mg PO QD then to 120 mg PO QD

-Corticosteroids: Prednisone 40-60 mg QD for 2-5 days and then taper off

-Avoid excessive alcohol especially beer, low & high purine foods (organ

meats, yeast, seafood), high fructose corn syrup. Table 20-5.

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