part 2

Question 1

What S/S should we teach our pt’s to report related to osteomyelitis and infection?

Answer 1

bone pain
fever
swelling
restricted limb movement

Question 2

Nursing implementation of osteomyelitis in the acute care setting?

Answer 2

• immobilization
• assess and treat pain
• dressing care (sterile technique)
• proper positioning and support of extremity
• management of CVAD (central line)

Question 3

What are the possible adverse and toxic reactions associated with prolonged and high-dose antibiotic therapy?

Answer 3

• skin reactions
• hearing deficit
• impaired renal function
• risk of C.diff
• risk for candida albicans

Question 4

What are the common antibiotics used for long term osteomyelitis and what needs to be monitored?

Answer 4

• Tobramycin/neomycin
• cephalosporins
• fluroquinolones
• monitor peaks and troughs

Question 5

What kinds of teaching will a patient need when going home or going to ambulatory care while receiving the IV long term antibiotics for osteomyelitis?

Answer 5

• antibiotic administration and administration with CVAD
• wound care and dressing changes
• physical and psychological support