Osteoarthritis

Question 1

caused by what

Answer 1

gradual loss of articular cartilage

Question 2

formation of what cells

Answer 2

osteophytes

Question 3

early stage OA symptoms

Answer 3

pain and stiffness

Question 4

what happens to the bone

Answer 4

rubs together

Question 5

OA risk factors

Answer 5

-age
-menopause (decreased estrogen)
-obesity
-ACL injury
-frequent kneeling and stooping
-smoking (vasoconstriction)
-possible genetic link

Question 6

OA noninflammatory

Answer 6

no synovial membrane inflammation, no systemic s/s, synovial fluid present

Question 7

OA inflammatory

Answer 7

use of arthroscopy/MRI identified inflammation present

Question 8

clinical s/s

Answer 8

-joint pain
-deformity
-non-systemic

Question 9

nursing assessment

Answer 9

-joint pain and stiffness
-inability to perform ADLs!!
-pain management
-assess affected joints (bilaterally)

Question 10

is there a cure for OA?
what is goal?

Answer 10

no
pain management, preventing disability, maintaining and/or improving joint function

Question 11

options for treatment

Answer 11

-rest and joint protection
-heat and cold applications
-nutritional therapy and exercise
-drug
-surgical

Question 12

when does the pt ice

Answer 12

acute inflammation

Question 13

why does the pt heat

Answer 13

stiffness

Question 14

drug therapy mild-moderate

Answer 14

-acetominophen
-topical agents

Question 15

drug therapy moderate - severe

Answer 15

-ibuprofen 200mg up to 4x/day
-misoprostol (GI symptoms)
-arthrotec (combo of misoprostol and NSAID diclofenac)
-diclofenac gel
-celecoxib

Question 16

surgical therapy

Answer 16

-arthroscopic surgery
-hip/knee replacement