direct or indirect entry?
blunt trauma
indirect
direct or indirect entry?
vascular insufficiency
indirect
direct or indirect entry?
microbes get into body by foreign body
direct
direct or indirect entry?
open wound
direct
osteomyelitis that lasts < 1 month with local & systemsc manifestations
acute
local or systemic?
pus & inflammation at site
local
local or systemic?
fever, chills, nausea, malaise, organ damage
systemic
osteomyelitis that lasts >1 month& lingers after treatment
chronic
osteomyelitis that has periods of remission & exacerbation, leaving only local effects
chronic
osteomyelitis is severe infraction of __, __ __, & surrounding __ __
bone, bone marrow, soft tissue
microbes grow, leading to pressure & expansion and ultimately __ and __ __ of the periosteum
ischemia, vascular compromise
when the bones separates from living tissue/bone around
sequestra
local or systemic manifestations?
constant bone pain
local
local or systemic manifestations?
worse with activity
local
local or systemic manifestations?
unrelieved with rest
local
local or systemic manifestations?
swelling, warmth, tenderness at infection site
local
restricted movement--attached to muscles & tendons
local
local or systemic manifestations?
external wound drainage
local
local or systemic manifestations?
internal wound drainage from cutaneous sinus tracts to surface of skin
local
local or systemic manifestations?
fever, night sweats, cills
systemic
local or systemic manifestations?
restlessness, nausea, malaise
systemic
local or systemic manifestations?
increase in WBC and neutrophils
systemic
osteomyelitis is a __ infection
bacterial
osteomyelitis, shift to left or right?
left (bacterial, immature neutrophils)
osteomyelitis, increase in __ neutrophils
immature (shift to left, bacterial)
infection spreads to blood, and eventually leading to death
septicemia
infection in join
septic arthritis
pressure in bone causes it to break
pathologic fractures
abnormal protein deposits from destroyed bone into tissues (hard lump)
amyloidosis
what 3 things will be elevated with osteomyelitis?
WBC, ESR, CRP
definitive diagnosis of osteomyelitis:
bone biopsy
how long do IV antibiotics last?
4-6 weeks-3-6 months
what kind of oxygen therapy is used for osteomyelitis?
hyperbaric
what complication can result from bedrest and can cause permanent neurological damage?
foot drop
how do you prevent foot drop?
90 degree alignment
thick sheath of epriosteal new bone
involucrum
ESR will be __ with osteomyelitis
elevated
1. A patient with osteomyelitis undergoes surgical debridement with implantation of antibiotic beads. When the patient asks why the beads are used, the nurse answers (select all that apply)
a. "Oral or IV antibiotics are not effective in most cases of bon
b, c
7. What is important to include in the teaching plan for a patient with osteopenia? a. Lose weight.
b. Stop smoking.
c. Eat a high-protein diet.
d. Start swimming for exercise.
b