ORTHOPEDIC NURSING REVIEW
COURSE
Rheumatoid Arthritis - ANS -* Systemic, Multi system inflammatory disorder
* Affects synovial membrane of the joints
* Periods of exacerbation and remissions
Rheumatoid Arthritis Presentation - ANS -* Uniform joint space narrowing
* Peak onset ages 40-60
* Hypertrophied synovium (lining) thickens an invades surrounding tissue
* Nodules in the joints
* Morning Stiffness and stiffness after rest
* Generalized fatigue
* Ulnar deviation
Rheumatoid Arthritis Epidemiology/Pathophysiology - ANS -* Genetic predisposition
* Laxity, sublaxation and contractures
Osteoarthritis - ANS -Slow, progressive, non-inflammatory
Affects spine, fingers, knees and hips
Osteophyte or bone spurs are common with what disease? - ANS -Osteoarthritis
The gold standard test for this disease is radiographic changes - ANS -Osteoarthritis
,Symptoms Osteoarthritis - ANS -* Asymmetric joints
* AM Stiffness
* Stiffness with inactivity
* Stiffness with weather changes
* Antalgic gait-limp or giving way sensation
* Joint crepitus
* Knock kneed or bow-legged
* Heberden's Nodes
* Bouchard's Nodes
Valgus knees is the same as - ANS -Knock knees
Varus knees is the same as - ANS -Bow legged
Heberden's Nodes are in what joint? - ANS -Distal (DIP)
Bouchard's nodes are in what joint? - ANS -Proximal (PIP)
This is the first drug of choice for treating Osteoarthritis - ANS -Acetaminopehn (Tylenol)
Total Hip Arthroplasty:
Anterior approach benefits and cons - ANS -Pro: less soft tissue disturbance
Less precautions after SX
3-4 inch incision
Cons: Technically challenging
, Anterior Hip precautions - ANS -* Avoid hip extension
* Avoid external rotation
Total Hip Arthroplasty:
Posterior-Lateral approach benefits and cons - ANS -Pro: Tried and True method/Traditional
Requires more physician training
Cons: More precautions after SX
8-12 inch incision
Posterior Hip Precautions - ANS -* No flexion > 90 degrees
* No adduction
* No internal rotation (leg crossing)
Hip dislocation presentation - ANS -* Shortening/Rotation of affected extremity
* Pain with inability to bear weight
How many vertebae are in the C spine? - ANS -7
How many vertebrae are in the T spine? - ANS -12
How many vertebrae are in the L spine? - ANS -5
How many vertebrae are in the S spine? - ANS -5
COURSE
Rheumatoid Arthritis - ANS -* Systemic, Multi system inflammatory disorder
* Affects synovial membrane of the joints
* Periods of exacerbation and remissions
Rheumatoid Arthritis Presentation - ANS -* Uniform joint space narrowing
* Peak onset ages 40-60
* Hypertrophied synovium (lining) thickens an invades surrounding tissue
* Nodules in the joints
* Morning Stiffness and stiffness after rest
* Generalized fatigue
* Ulnar deviation
Rheumatoid Arthritis Epidemiology/Pathophysiology - ANS -* Genetic predisposition
* Laxity, sublaxation and contractures
Osteoarthritis - ANS -Slow, progressive, non-inflammatory
Affects spine, fingers, knees and hips
Osteophyte or bone spurs are common with what disease? - ANS -Osteoarthritis
The gold standard test for this disease is radiographic changes - ANS -Osteoarthritis
,Symptoms Osteoarthritis - ANS -* Asymmetric joints
* AM Stiffness
* Stiffness with inactivity
* Stiffness with weather changes
* Antalgic gait-limp or giving way sensation
* Joint crepitus
* Knock kneed or bow-legged
* Heberden's Nodes
* Bouchard's Nodes
Valgus knees is the same as - ANS -Knock knees
Varus knees is the same as - ANS -Bow legged
Heberden's Nodes are in what joint? - ANS -Distal (DIP)
Bouchard's nodes are in what joint? - ANS -Proximal (PIP)
This is the first drug of choice for treating Osteoarthritis - ANS -Acetaminopehn (Tylenol)
Total Hip Arthroplasty:
Anterior approach benefits and cons - ANS -Pro: less soft tissue disturbance
Less precautions after SX
3-4 inch incision
Cons: Technically challenging
, Anterior Hip precautions - ANS -* Avoid hip extension
* Avoid external rotation
Total Hip Arthroplasty:
Posterior-Lateral approach benefits and cons - ANS -Pro: Tried and True method/Traditional
Requires more physician training
Cons: More precautions after SX
8-12 inch incision
Posterior Hip Precautions - ANS -* No flexion > 90 degrees
* No adduction
* No internal rotation (leg crossing)
Hip dislocation presentation - ANS -* Shortening/Rotation of affected extremity
* Pain with inability to bear weight
How many vertebae are in the C spine? - ANS -7
How many vertebrae are in the T spine? - ANS -12
How many vertebrae are in the L spine? - ANS -5
How many vertebrae are in the S spine? - ANS -5
