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Med Surg Reumth. A
Question | Answer |
---|---|
Rheumathoid arthritis | Chronic Systemic inflamatory Dz or immune complex disorder |
Causes of Rheumathoid arthritis | Combination of environmental/genetic factors |
Rheumathoid arthritis leads to | destruction of connective tissue/synoval membrane w/in the joints |
Rheumathoid arthritis produces | weakness and dislocation of the joint leading to permanent deformity |
Pannus | in Rheumathoid arthritis occurs at the junction of synovial tissue and articular cartilage, projecting into the joint cavity |
Pannus complications | Can lead to necrosis |
Exacerbation of Rheumathoid arthritis | Phycsical or emotional stress |
Rheumathoid arthritis exacerbation risk factors | exposure to infectious agents, fatigue and stress |
Vasculitis | Can cause malfunction and eventual failure of an organ or system |
Assessment in Rheumathoid arthritis | Inflammation, tenderness, stiffness of the joints |
Pain in Rheumathoid arthritis | Moderate to severe pain and AM stiffness lasting longer >30min |
Clinical Manifestations of Rheumathoid arthritis | Joint deformities, muscle atrophy, decreased ROM, spongy feeling in the joints |
Rheumathoid arthritis symptoms | Low grade temp, fatigue, weakness, anorexia, weight loss, anemia |
Diagnostic tests for Rheumathoid arthritis | Rthrocentesis,Sedimentation rate, rheumathoid factor, X ray, Synovial tissue biopsy |
Sedimentation rate | elevated in Rheumathoid arthritis |
Rhemathoid factor | Nonreactive 0-39 iu/mlweakly reactive40-79iu/mlreactive>80iu/ml |
Pain tretment for Rheumathoid arthritis | Salycilates, NSAIDs, Corticosteroids, Antineoplastic, Gold Salts |
Salycilates-ASA. | monitor for SE-tinnitus, GI upset, PTTAdmin with food, monitor for bleeding.. |
NSAIDS. | Combine with ASA if pain/inflammation have not decrease in 6-12weeks. |
NSAIDS. | monitor for SE GI upset, CNS, skin rash, HPT, fluid retention, changes in renal function. |
corticosteroids. | During exacerbation |
Antineoplastic | In pt with life threatening RA |
Gold Salts | Along with ASA/NSAIDS to induce remission and decrease pain/inflamation |
Physical Mobility in RA | ROM exercise to mainatain joint motion/muscle strength, balance rest and activity |
Exercise with RA | Consisten, ONLY to the point of pain, avoid weigth bearing exercise on inflammed joints. |
Reduce RA pain | Apply heat/cold , parafin baths, massage as ordered |
Fatigue in RA | anemia-admin iron, folic acid, vitamin suplements, minitor for occult blood |