Medical-Surgical Nursing, 10th Ed., Ignatavicius & Workman, 2020 | Registered Nurse (RN) School Study Aid
Inflammatory Response
- Pathogens Infect Tissue
- Mast Cells Release Histamine
- Histamine Dilates and Increases Capillary Permeability
- Macrophages Engulf Pathogens
- Macrophage Signals Cells With Cytokines
- Responding Neutrophils Cross Capillary Wall
- B And T Lymphocytes Arrive At Injury Site
Osteoarthritis Assessment
- Aging
- Articular Cartilage Destruction
- Biomechanical Stress
- Asymmetric
- Pain Decreases with Rest
- Morning Stiffness under 30 Minutes
- Crepitus
- DIP and PIP Joints
Osteoarthritis Interventions
- Balance Rest and Activity
- Therapeutic Exercise
- Heat and Cold Applications
- Intra-articular Injection
- NSAIDs
- Reconstructive Joint Surgery
NSAIDs
- Anti-inflammatory
- Analgesic
- Fever
- Closure of Patent Ductus Arteriosus
- Reversible Inhibition of COX-1 and COX-2
- Block Prostaglandin Synthesis
- Interstitial Nephritis
- Gastric Ulcer
- Renal Ischemia
Celecoxib
- Rheumatoid Arthritis
- Osteoarthritis
- Pain
- NSAID
- Selectively Inhibits COX-2
- Sulfa Allergy
- Increased Risk of Thrombosis
- GI Bleed
- Pregnancy > 30 Weeks
Hip Surgery
- Neurovascular Assessment
- No 90 Degree Hip Flexion
- No Adduction
- No Internal Rotation
- Avoid Turning on Affected Side
- Thromboembolism Prevention
Total Knee Replacement (TKR)
- Joint Pain (Uncontrolled)
- Impaired Mobility
- Compression Dressing
- Frequent Neurovascular Assessments
- Continuous Passive Motion (CPM) Devices
- Early Ambulation
- Venous Thromboembolism (VTE) Prophylaxis
- Limit Flexion Positions
- Monitor for Infection
Preoperative Care
- Surgical Procedure
- NPO
- Turn, Cough, Deep Breathe, Incentive Spirometer
- Lower Extremity Exercises
- Compression Stockings or SCD's
- Pain Management
- Informed Consent
- Physical Preparation
- Preop Checklist
- Handoff to Surgery
- Universal Precautions
Postoperative Care
- Head to Toe Assessment
- Hemorrhage
- Clotting
- Pain
- Dehiscence or Evisceration
- Respiratory Complications
- Paralytic Ileus
- Infection
Rheumatoid Arthritis Assessment
- Destruction of Connective Tissue and Synovial Membrane
- Inflammation of Joints
- Morning Stiffness
- Nodules
- Joint Deformities
- Increases concentrations of azathioprine and 6-MP
Rheumatoid Arthritis Interventions
- Heat and Cold Applications
- Therapeutic Exercise
- Balance Rest and Activity
- NSAIDs
- DMARDs
- Glucocorticoids
- PT/OT
- Reconstructive Joint Surgery