NUR112 Osteoarthritis - DJD Flash Cards

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Title: NUR112 Osteoarthritis - DJD
Description: DCC NUR112 Osteoarthritis - DJD - Grutzner - amurr
Number of Cards: 15
Save Count: 0
Author: amurr099
Created: 2011-12-04
Tags: amurr dccnur112 djd grutzner osteoarthritis
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    • Question
    • Answer
    • Side 3
    • What is osteoarthritis (degenerative joint disease)?
    • OA is the degeneration & loss of articular cartilage in synovial joints, usually affecting the hand and weight bearing joints (spine, knees, hips). NO INFLAMMATION
    • What are risk factors for OA/DJD?
    • OA Risk Factors
      - aging
      - obesity
      - joint trauma: repetitive movements, frequent strains/sprains/breaks, pounding
      - genetic ?
    • What advice can a nurse give to minimize damage to joints?
    • - weight reduction
      - protective sports gear
      - warm up before exercise
      - minimize repetitive movements
    • Describe the pathophysiology of OA
    • - cartilage softesn with age, narrowing the joint space.
      - normal use thins and erodes cartilage
      - cartilage flakes enter the synovial lining - fibroses - synovitis - limits joint movement.
    • What are osteophytes and lipping?
    • Osteophytes are bony spurs, especially around margins of cartilage - lipping.
      They can break loose and lodge in synovial space - synovitis
    • What are the most commonly affected joints in OA/DJD?
    • hips: coxarthrosis
      knees: varus or valgus deformities
      hands
      wrist: CMC carpo-metacarpal
    • What are PIP and DIP?
    • They are the names of the joints in the hands affected by OA/DJD.
      PIP: Proximal InterPhalageal Joint
      DIP: Distal InterPhalangeal Joint
    • What are Heberden's nodes and Bouchard's nodes and how the hell can I remember which is which?
    • Bouchard's Nodes are in the PIP joint. "holding a bat"
      Herbreden's Nodes are in the DIP joint. "holding a hair"
    • What are varus and valgus deformities? And what is the memory aid for this?
    • Varus: bowlegged. think V AIR US - air between knees
      Valgus: knock knee
    • What are some assessment findings in OA/DJD?
    • - pain relieved by resting (versus RA)
      - joint stiffness, decreases with movement (versus RA)
      - Heberden's Nodes & Bouchard's Nodes
      - Limited ROM
      - Crepitation - heard or felt
      - Enlarged Joints - fluid accumulation - bony, hard, COOL (versus RA)
    • What are some diagnostic test findings?
    • Xray: narrowing of joint space, lipping, spurs, bony cysts
      ESR: elevated
      Arthroscopy: same as xray
    • What medications are used to treat OA/DJD?
    • - NSAIDS, acetaminophen
      - steroids: injection in joint
      - glucosamine with chondrotin
      - hyaluronic acid prodcts - injection - synvisc
    • What are some complications of OA/DJD?
    • - contractures
      - GI Bleeding (NSAIDS)
      - injury
    • What kind of surgery might be used in OA/DJD?
    • - joint replacements
      - arthroscopy: visualize, debride, lavage
      - osteotomy: removal of bone
    • What nursing interventions are good for OA/DJD?
    • - heat/cold
      - pain meds
      - provide rest periods as needed
      - education: exercise, weight reduction