Class notes
Exam 2 MEdsurg Musculoskeletal disorders
- Course
- VOCN (VOCN200)
- Institution
- American Career College
Exam 2 MEdsurg Musculoskeletal disorders
[Show more]
1 review
By: emilymejia71 • 3 months ago
Content preview
D.Revilla
E x a m
2
K e y
p o i n t s
C h .
4 4 :
M u s c u l o s k e l e t a l
d i s o r d e r s
.
1 .
S c o l i o s i s :
l a t e r a l
( o r
S )
c u r v a t u r e
o f
t h e
s p i n e
2 .
L o r d o s i s :
a n
i n c r e a s e
i n
t h e
c u r v e
a t
t h e
l u m b a r
s p a c e
r e g i o n
t h a t
t h r o w s
t h e
s h o u l d e r
b a c k
r e s u l t i n g
i n
a
s w a y
b a c k e d
g a i t
3 .
K y p h o s i s
:
j u n c h e d
b a c k ,
f o r w a r d s
h e a d
p o s t u r e .
A
r o u n d i n g
o f
h t e
t h o r a c i c
s p i n e
4 .
H i p
a r t h r o p l a s t y
T o t a l
h i p
a r t h r o p l a s t y
-
i n v o l v e s
t h e
r e p l a c e m e n t
o f
t h e
a c e t a b u l a r
c u p ,
f e m o r a l
h e a d ,
a n d
f e m o r a l
s t e m
H e m i a r t h o p l a s t y -
r e f e r s
t o
h a l f
o f
a
j o i n t
r e p l a c e m e n t .
F r a c t u r e s
o f
t h e
f e m o r a l
n e c k
a r e
t r e a t e d
w i t h
t h e
r e p l a c e m e n t
o f
t h e
f e m o r a l
c o m p o n e n t
-
Bed
rest
with
side
rails
up
after
administering
preoperative
medications
-
Provide
early
ambulation.
Transfer
the
client
out
of
bed
from
his
unaffected
sid
into
a
chair
or
wheelchair
-
M o n i t o r
f o r
n e w
j o i n t
d i s l o c a t i o n :
a
cute
onset
of
pain.
R e p o r t s
h e a r i n g
a
p o p
,
internal
rotation
of
the
affected
extremity,
and
shortened
affected
extremity
“ h e y
i
h e a r d
a
P O P ”
m e a n s
D I S L O C A T I O N
-
Avoid
hip
flexion
greater
than
90
degrees
-
avoid
low
chairs
-
D o
n o t
c r o s s
l e g s
f o r
3
m o n t h s
-
D o
n o t
i n t e r n a l l y
r o t a t e
t h e
t o e s
5 .
O s t e o p e r o s i s / B o n e
s c a n D.
Revilla
O s t e o p e r o s i s
i s
a
d i s o r d e r
t h a t
r e s u l t s
i n
a
l o s s
o f
b o n e
d e n s i t y .
Extended
periods
of
immobility
cause
bone
deterioration
H i g h
r i s k
:
w o m e n
b e t w e e n
5 5 - 6 5 y
( b c
l o s s
o f
e s t r o g e n )
R i s k
f a c t o r s :
o s t e o p o r o s i s :
-
V i t a m i n
D
d e f i c i e n c y
:
Vitamin
D
helps
with
bone
absorption
but
if
you
don’t
have
Vitamin
D,
you
also
don’t
have
calcium
-
u s e
o f
s t e r o i d s
-
a n t o c o n v u l s a n t s
-
i m m u n o s u p p r e s s a n t
t h e r a p i e s
-
h e p a r i n
:
too
much
can
damage
bone
-
d i e t s
l o w
i n
c a l c i u m
-
h i g h
i n
c a f f e i n e
a n d
h i g h
p r o t e i n
(
caffeine
causes
electrolyte
imbalance
-
D u a l
e n e r g y
x - r a y
a b s o r p t i o m e t r y
( D E X A )
d e t e r m i n e
Bone
Mineral
Denisty
( B M D ) .
BMD
measures
how
tightly
bones
are
packed
D i a g n o s t i c
t e s t
f o r
O s t e o p e r o s i s
-
C B C :
(RBC
4.2-6
million.
WBC
5K-10K,
platelet
150K-400K)
-
S e r u m
C a l c i u m
-
P h o s p h o r u s
-
A l k a l i n e
p h o s p h a t a s e
-
B l o o d
U r e a
N i t r o g e n
( B U N )
-
C r e a t n i n e
l e v e l
-
U r i n a l y s i s
-
L i v e r
a n d
t h y r o i d
f u n c t i o n
t e s t s
-
D u r i n g
b o n e
s c a n ,
i f
t h e
c o n t r a s t
u p t a k e s
m o r e ,
t h e r e
i s
b o n e
l o s s
/
a b n o r m a l i t y
O s t e o p o r o s i s
T x
-
C a l c i u m
s u p p l e m e n t s ,
V i t a m i n
D
s u p p l e m e n t s
-
A l c o h o l
i n t a k e
s h o u l d
b e
l i m i t e d
-
W e i g h t
b e a r i n g
e x e r c i s e
p r o g r a m
(
walking,
yoga,
aerobics,
exercises
with
your
own
weight)
-
A l e n d r o n a t e
( F o s a m a x ) ,
z o l e d r o n i c
a c i d
( R e c l a s t )
a n d
i b a n d r o n a t e
( B o n i v a )
t o
i n c r e a s e
b o n e
d e n s i t y
.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller revilladianaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now