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Muscculoskeletal
test 1
89
Nursing
Undergraduate 1
08/15/2012

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Cards

Term
partial or complete tearing of ligaments that hold various bones together to form a joint
Definition
sprain
Term
most common sites ankle and knee
Definition
sprain
Term
tenderness at site; minimal swelling and loss of function; no abnormal motion
Definition
grade 1 sprain(mild)
Term
more severe pain, especially with weight bearing; swelling and bleeding into joint; some loss of function
Definition
grade 2 sprain(moderate)
Term
pain me be less severe, but swelling, loss of function, bleeding into joint, and loss of function are more marked
Definition
grade 3 sprain(severe)
Term
RICE
Definition
rest, ice, compression, elevation
Term
pulling or tearing of either muscle or tendon or both
Definition
strain
Term
most common sites- hamstrings, quads, and calf muscles
Definition
strain
Term
stretching and tearing of ligaments around joint with a complete displacement of a bone
Definition
dislocation
Term
partial dislocation
Definition
subluxation
Term
most common sites-should, knee, tempormandibular
Definition
dislocation
Term
inflammation of bursa
Definition
bursitis
Term
sac-like structures that line freely movable joints
Definition
bura
Term
most common sites- elbow, shoulder, knee
Definition
bursitis
Term
break or interruption in continuity of a bone
Definition
fracture
Term
bone breaks into 2 parts completely separated
Definition
complete fracture
Term
bone breaks into 2 parts not completely separated
Definition
incomplete fracture
Term
bone broken and shattered into more than 2 fragments
Definition
comminuted fracture
Term
no break in skin
Definition
closed(simple) fracture
Term
break in skin fragments of broken bone protrude
Definition
open(compound) fracture
Term
common in children- bone partially bent and partially broken
Definition
greenstick fracture
Term
first stage of fracture
Definition
hematoma
Term
second stage of fracture
Definition
fibroblasts and osteoblasts arrive
Term
third stage of fracture
Definition
callus form
Term
fourth stage of fracture
Definition
new bone forms
Term
first sign of shock
Definition
tachycardia
Term
fat globules released from marrow of broken bone into bloodstream
Definition
fat embolism
Term
first sign of fat embolism
Definition
respiratory distress
Term
serious complication that results from internal or external pressure on the affected area
Definition
compartment syndrome
Term
primary symptom of compartment syndrome
Definition
pain, especially with touch or movement, that cannot be relieved with narcotics
Term
infection
Definition
osteomyelitis
Term
infection treatment
Definition
4-8 weeks IV, followed 4-8 weeks oral antibiotics
Term
nonsurgical realignment, no incision made
Definition
closed reduction
Term
surgical procedure, incision made; usually done with open or comminuted fractures
Definition
open reduction
Term
attempt to attach fragments of broken bone together
Definition
fixation
Term
use of rods, pins, nails, screws, or metal plates
Definition
internal fixation
Term
promotes early mobilization and preferred for older adults
Definition
internal fixation
Term
pins in bone attached to external frame
Definition
external fixation
Term
how do you handle a wet cast?
Definition
palms of hands
Term
short pieces of tape sometimes placed over edges of cast to prevent skin irritation by rough edges and to protect cast from moisture and soiling
Definition
petaling
Term
cast split down front to allow casting material padding to spread
Definition
univalved cast
Term
cast cut down both sides so that front can be removed while back stays on
Definition
bivalved cast
Term
opening cut into cast to allow inspection of body area or to relieve pressure
Definition
windowed cast
Term
pre-op care with hip fracture
Definition
pain management, SQ heparin or ASA
Term
pre-op care with hip replacement
Definition
do not flex 90 degrees, keep abduction at all times
Term
break in distal radius (wrist area)
Definition
colles fracture
Term
occurs when median nerve in wrist is compressed by inflamed, edematous flexon sheath
Definition
carpal tunnel syndrome
Term
Which disease process does exercise serve as prevention for?
Definition
osteoporosis
Term
How should you care for a bedridden patient who has a fracture?
Definition
you should begin your work on the side opposite the injury
Term
how do you prevent contractures?
Definition
by ensuring that the patient is on a steady regimen of ROM
Term
the end result of a muscle that has not been stretched is what?
Definition
it will become shorter and lose elasticity
Term
what is the best follow up care for a pt who has undergone arthroscopy?
Definition
apply ice at the site
Term
what joins the bones of a joint together?
Definition
ligament
Term
When an injury occurs to the lower limb why should your first course of action be to elevate the limb
Definition
to reduce swelling
Term
what is the proper way to apply ice?
Definition
10-20min of each hr for first 24hrs
Term
what is the contributory factor for bursitis?
Definition
overuse mainly activity such as sports
Term
what is a huge benefit of an external fixation?
Definition
allows movement
Term
what are the major s/s of osteomyelitis?
Definition
x-ray and lab results show elevated wbc's,elevated temp.,and increased edema
Term
What are the stages of healing?
Definition
1. Hematoma is formed between broken ends of bone
2. Granulation tissue is formed
3. Callus is formed
4. Mature bone cells form ossification
5. Medullary canal is reconstructed
Term
What are some of the signs and symptoms of a strain?
Definition
Overexertion, swelling, bruising and redness at the site
Term
What is the priority concern postoperatively?
Definition
Hemorrhage
Term
What type of procedure would warrant the use of an abductor pillow?
Definition
total hip replacement
Term
What is petichiae an indication of?
Definition
It is a strong indicator that death is imminent
Term
inflammation of a joint
Definition
rheumatoid arthritis
Term
believed to be a autoimmune disorder
Definition
RA
Term
immune complexes formed within joint, causing inflammation, swelling, and increased synovial fluid resulting in scaring
Definition
RA
Term
what is RA called in children
Definition
Still's disease
Term
S/S: early AM stiffness and pain in finger joints; fatigue, weight loss, muscle weakness
Definition
RA
Term
fixed flexion of proximal interphalangeal joint and hyperextension of distal interphalangeal joint
Definition
boutonnier deformity
Term
deviation of fingers to ulnar side of hands (hands go away from thumbs)
Definition
ulnar drift
Term
what elevates ESR and decreases RBC's
Definition
RA
Term
inflammatory disease involving striated muscle
Definition
poliomyositis
Term
S/S: muscle weakness with climbing stairs, getting out of a chair or combing hair
Definition
poliomyositis
Term
inflammation of bone and bone marrow
"Dirty Nurses"
Definition
osteomyelitits
Term
increase in porosity of bone, bone becomes brittle and fatigue
Definition
osteoporosis
Term
"wear and tear", most common type of arthritis
Definition
osteoarthriitis
Term
S/S: early morning stiffness, pain after exercise, joint enlargement
Definition
osteoarthritis
Term
osteitis deformans; metabolic bone disease in which increased bone loss results in large, disorganized bone deposits throughout the body
Definition
paget's diseases
Term
possible viral infection
Definition
paget's diseases
Term
systemic disease characterized by deposition of urate crystals in joints and other body tissues
Definition
gout
Term
treatment is Colchicine, allopurinal and probenecid
Definition
gout
Term
what do centrally acting drugs do?
Definition
depress neuron activity in spinal cord/brain
Term
what do peripherally acting drugs do?
Definition
act directly on skeletal muscles
Term
centrally acting
can be administered by physician by intrathecal infusion pump
Definition
baclofen(lioresal)
Term
direct acting
liver damage, need LFT
Definition
dantrium (dantrolene)
Term
centrally acting
contraindicated with MAOI's
Definition
flexeril (cyclobenzaprine)
Term
centrally acting
may cause urine to turn black or green
Definition
robaxin (methocarbamol)
Term
how much fluids should a patient with gout have daily?
Definition
2000-2500
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