Exam 2 chapter 39 OA, RA, Gout Flashcards Preview

Nursing 130 Perioperative > Exam 2 chapter 39 OA, RA, Gout > Flashcards

Flashcards in Exam 2 chapter 39 OA, RA, Gout Deck (33)
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1

Inflammation of the joint

Arthritis

2

The symptom that most commonly causes a person to seek medical attention for rheumatic diseases

pain

3

what are the most prevalent types of arthritis

osteoarthritis
Rheumatoid
Gout

4

disease that involves the joints, bones and muscles

Rheumatic disease

5

which clinical manifestations are shared by rheumatoid arthritis (RA) and Osteoarthritis (OA)

joint swelling
pain
stiffness

6

which characteristic of rheumatoid arthritis (RA) differentiate it from other forms of inflammatory arthritis?

Pannus formation
it has a destructive effect on the adjacent cartilage and bone

7

Raynaud's phenomenon

cold and stress induced vasospasm causing episodes of digital blanching or cyanosis

8

what are the classic symptoms of RA

joint pain
swelling
warmth
erythema (redness)
lack of function

onset is usually acute
bilateral and symmetric

9

what is the cardinal sign of inflammatory arthritis that an appear even before pain?

morning stiffness
lasting at least 30 to 45 minutes

10

name some extra-articular features of RA

fever
weight loss
fatigue
anemia
lymph node enlargement
Raynaud's phenomenon (cold and stress induced vasospasm causing episodes of digital blanching or cyanosis)
arteritis
neuropath
scleritis
pericarditis

splenomegaly
Sjögren's syndrome (dry eyes and dry mucous membranes)

11

Sjögren's syndrome

dry eyes
dry mucous membranes

12

Rheumatic disorders with diffuse inflammation and degeneration in connective tissues are referred to as

connective tissue diseases

13

what are some common connective tissue diseases

RA
systemic lupus erythematosus (SLE)
scleroderma

14

The connective tissue disease that is a result of disturbed immune regulation that causes an exaggerated production of autoantibodies and antigens.

Systemic Lupus Erythematosus (SLE)

15

what is the first choice in the treatment of RA

The use of traditional NSAIDs

16

what are the primary goals in managing RA

decrease inflammation
manage pain
maintain join function
prevent or correct join deformity

17

heat and cold therapy for RA

help relieve pain, stiffness, and muscle spasm
Ice is beneficial during periods of disease exacerbation
Ice application should not exceed 10 to 15 minutes at one time.

18

Tx options for RA

drug therapy
rest
joint protection
heat and cold application
exercise
patient and family teaching

19

Medical management of RA

NSAIDs and salicylates
inhibit the production of prostaglandins and provide anti-inflammatory effects and analgesia.
COX-2
inhibit inflammatory processes
patient at risk for GI cimmpplications
DMARDS
Methotrexate (Rheumatrex, Trexall)
hydroxychloroquine (plaquenil) -antimalarial
biologic agents (immunomodulators)
small-molecule agents

20

The major end produce to purine catabolism?

uric acid.
primarily excreted by the kidneys
Increase cause GOUT

21

what is the most common initial problem of Gout?

inflammation of the great toe (podagra)
other affect joints are midtarsal area of the foot, ankle, knee and writs.

22

when does the onset of symptoms typically occurs in Gout?

at night with sudden swelling and excruciating pain peaking within several house.
low-grade fever

23

what are some foods high in purine content which patient with Gout need to avoid?

anchovies
liver
wine
beer
red and organ meats
shellfish

24

what will be prescribed for patient with acute Gout attack

antiinflammatory such as Colchincine
NSAID for pain management
corticosteroids
Adrenocorticotropic hormone (ACTH)

25

future attacks of Gout are prevented by maintenance does of what?

Allopurinol (Zyloprim, Alloprim)
uricosuric such as probenecid (Benemid)

26

when may systemic corticosteroid be used for Gout?

only if routine therapies are contraindicated or ineffective.

27

Defect of purine metabolism will result in

hyperuricemia = GOUT

28

crystalline deposits accumulating in articular tissue, osseous tissue, soft tissue and cartilage.

Tophi seen in patient with chronic Gout

29

what will be the serum uric acid levels that will indicate gout?

6.8 mg/dL

30

Nursing management for patient with gout

pain control
joint rested and application of ice
self care measures
avoidance of aspirin
medication compliance
restricting foods high in purines such as organ meats and shell fish.
limit protein foods, alcohol.
avoid starvation diets
increase fluids 2,000 ml/day
maintain normal body weight
decrease Na, fat and cholesterol