Podcast
Questions and Answers
What is the primary cause of osteomyelitis?
What is the primary cause of osteomyelitis?
- Autoimmune response targeting bone tissue.
- Genetic predisposition leading to bone weakness.
- Degenerative changes in bone due to aging.
- Penetration of bone by infectious organisms following trauma. (correct)
A client with osteomyelitis reports constant, localized bone pain. What characteristic of this pain is most indicative of osteomyelitis?
A client with osteomyelitis reports constant, localized bone pain. What characteristic of this pain is most indicative of osteomyelitis?
- The pain is sharp and intermittent.
- The pain is relieved by over-the-counter analgesics.
- The pain is dull and only present during weight-bearing activities.
- The pain is pulsating and worsens with movement. (correct)
An older adult is suspected of having osteomyelitis. What clinical manifestation might be absent in this population compared to younger adults?
An older adult is suspected of having osteomyelitis. What clinical manifestation might be absent in this population compared to younger adults?
- Bone pain
- Localized edema
- Elevated sedimentation rate
- Fever (correct)
Which diagnostic test is most definitive in identifying the specific microorganisms causing osteomyelitis?
Which diagnostic test is most definitive in identifying the specific microorganisms causing osteomyelitis?
What is the typical duration of IV and oral antibiotic therapy for treating osteomyelitis?
What is the typical duration of IV and oral antibiotic therapy for treating osteomyelitis?
In which scenario would surgical debridement be MOST indicated for a client with osteomyelitis?
In which scenario would surgical debridement be MOST indicated for a client with osteomyelitis?
A patient with chronic osteomyelitis is undergoing hyperbaric oxygen treatments. What is the primary goal of this therapy?
A patient with chronic osteomyelitis is undergoing hyperbaric oxygen treatments. What is the primary goal of this therapy?
Following surgical debridement for osteomyelitis, what nursing action is most important to perform?
Following surgical debridement for osteomyelitis, what nursing action is most important to perform?
For a client whose osteomyelitis wound is left open to heal, what level of precautions and technique is required during dressing changes?
For a client whose osteomyelitis wound is left open to heal, what level of precautions and technique is required during dressing changes?
What is a potential consequence of unsuccessful treatment for osteomyelitis?
What is a potential consequence of unsuccessful treatment for osteomyelitis?
Flashcards
Osteomyelitis
Osteomyelitis
Infection of the bone, starting as inflammation due to infectious organisms entering after trauma or surgery.
Osteomyelitis Pain
Osteomyelitis Pain
Constant, pulsating, localized bone pain that worsens with movement.
Osteomyelitis Local Signs
Osteomyelitis Local Signs
Erythema (redness) and edema (swelling) at the site of infection in the bone.
Leukocytosis in Osteomyelitis
Leukocytosis in Osteomyelitis
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Bone scan/MRI for Osteomyelitis
Bone scan/MRI for Osteomyelitis
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Osteomyelitis Treatment
Osteomyelitis Treatment
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Surgical Debridement
Surgical Debridement
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Nursing Actions for Osteomyelitis
Nursing Actions for Osteomyelitis
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Study Notes
- Osteomyelitis is a bone infection that starts as inflammation, caused by infectious organisms (viruses, bacteria, or fungi) entering after trauma or fracture repair.
Manifestations
- Constant, pulsating, localized bone pain that worsens with movement is a key indicator.
- Erythema and edema appear at the infection site.
- Fever is present, though older adults might not show elevated temperatures.
- Leukocytosis and a potentially elevated sedimentation rate occur.
- Many symptoms may disappear if the infection becomes chronic.
Diagnostics
- Bone scans using radioactive material and MRI are used to diagnose.
- Cultures identify possible aerobic and anaerobic organisms.
- Septicemia development leads to positive blood cultures for microbes.
Treatment
- A long course (4-6 weeks minimum) of IV and oral antibiotics is standard.
- Surgical debridement might be necessary, and bone grafts might be needed for significant bone removal.
- Hyperbaric oxygen treatments can aid healing in chronic cases.
- Antibiotic-bead implantation in bone cement delivers local antibiotic therapy.
- Amputation may be necessary if all other treatments fail.
Nursing Actions
- Administer antibiotics as prescribed to maintain consistent blood levels.
- Give analgesics as needed for pain.
- Conduct neurovascular assessments after debridement.
- Use standard precautions and clean techniques for dressing changes if the wound heals openly.
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