NUFT 341 - CHAPTER 63 OSTEOMYELITIS FINAL EXAM (REAL EXAM) QUESTIONS WITH CORRECT ANSWERS (VERIFIED ANSWERS)
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Course
NUFT 341 - OSTEOMYELITIS
Institution
NUFT 341 - OSTEOMYELITIS
NUFT 341 - CHAPTER 63 OSTEOMYELITIS FINAL EXAM (REAL EXAM) QUESTIONS WITH CORRECT ANSWERS (VERIFIED ANSWERS)
Systemic manifestations are reduced while local signs of infx (pain, edema, warmth) are more common
Granulation tissue turns to avascular scar tissue which is an ideal site for microorga...
NUFT 341 - CHAPTER 63 OSTEOMYELITIS
FINAL EXAM (REAL EXAM) QUESTIONS
WITH CORRECT ANSWERS (VERIFIED
ANSWERS)
Systemic manifestations are reduced while local signs of infx (pain, edema, warmth) are
more common
Granulation tissue turns to avascular scar tissue which is an ideal site for
microorganism growth since abx cannot penetrate it
What are the complications of OM? - Answer-Septicemia
Septic arthritis
Pathological fractures
*these complications are long term and rare*
What diagnostic studies are done to assess/dx OM? - Answer-Bone or soft tissue
biopsy
Blood and/or wound cultures
WBC count
Erythrocytes sedimentation rate (ESR)
C- reactive protein
XR/MRI/CT scans
-OM won't be seen on XR until a week or so after infx develops
-MRI is the most sensitive
Bone scans
Radionuclide WBC scan
-shows where specific site of inflammation is
What interprofessional care can/should be done for acute OM? - Answer-Obtain
cultures or bone biopsy
, Give aggressive prolonged IV abx therapy via CVAD for at least 4 to 6 wks
-may be started in hospital then continued at home or skilled nursing facility
-which abx given is dependent on microorganisms dealing w/ and their resistance profile
-certain drugs used such as Vancomycin and Gentamicin have very narrow therapeutic
ranges so regular labs to check peak and trough lvls is required
Complete surgical debridement and drainage of abscess or ulcer prn
Monitor wound site regularly
What interprofessional care can/should be done for chronic OM? - Answer-Surgical
removal
Extended use of abx
-IV and or oral (usually Ciprofloxacin) up to 8 weeks
Acrylic bead chains containing abx surgically implanted in wound
-slowly dissolve to release abx in wound
Intermittent or constants abx irrigation of bone
Casts or braces
Negative pressure wound therapy (vacuum devices)
Hyperbaric oxygen therapy
-O2 is 3x's higher than atmospheric O2
-stimulates new blood growth and kills anaerobic microbes
Removal of prosthetic devices
Muscle flaps, skin grafts, bone grafts
-done to restore blood flow to the area
Amputation
Describe the nursing assessment for OM - Answer-1. Collect subjective data
-PMHx including bone trauma, open fx, open or puncture wounds, other infx (i.e.
recurrent strep or dental work)
-medication use esp analgesics and/or abx
-surgical hx/other tx esp bone surgery
-assess functional health patterns
*health perception-management: IV drug and alcohol abuse, malaise
*nutrition-metabolic: anorexia, weight loss, chills
*activity-exercise: weakness, paralysis, muscle spasms particularly at infx site
*cognitive-perceptual: local tenderness, increase in pain
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