Question

osteomyelitis

Pathophysiology/Description:
Priority Assessments: 1. 2. 3. Priority Labs Tests/Diagnostics: 1. 2. 3. Priority Interventions: 1. 2. 3.	Priority Actual or Potential Complications: 1. 2. 3. Priority Nursing Implications: 1. 2. 3. Priority Medications: 1. 2. 3. Priority Education/Discharge Issues: 1. 2. 3.

Answer 1

Priority Assessments;

1- Assess client joints or wound for color,swelling ,pain,decreased range of motion and drainage.

2-Record vital signs.

3-ask about skin rash and other adverse events of the medications.

priority Lab tests/ diagnostics;

1- X- rays

2-Radioisotopes bone scans

3- wound and blood culture studies

4- Level of C- reactive protein

5- MRI And CT- SCAN

Priority Interventions;

1- Relieving pain

2- improving physical mobility

3- prevent the client from infection.

Priority Actual or potential complications;

1- bone abscess (pus formation)

2-bone necrosis ( bone death)

3- spread of infection

4-inflammation of soft tissues (cellulitis)

5-chronic infection that doesn't respond well to treatment

Priority nursing Implications;

1- protect the affected extremity from further injury and pain by supporting the limb above and below the affected area.

2-prepare the client for surgical treatment, such as debridement ,bone grafting, amputation, as appropriate.

3- Administer prescribed medications which include opoid and non- opoid analgesics and antibiotics.

4-promote healing and tissue growth.

5- provide a diet high in protein ,vitamin C and D

Priority medications;

1- initial goal is to control the infection

2- Antibiotic therapy intravenous is given around the clock.

3- Antibiotic medication is administerd orally when infection appears to be controlled the medication regimen is continued for up to 3 months.

​​​​​​4-surgical debridement of bone is performed with irrigation .

Priority Education / discharge issue

1- advice the client to take medication as prescribed by the health care provider.

2- advice the client be careful not to injure the area where client have infection.

3-Use splint, sling or brace as prescribed by the health care provider.

4-Advice the client for follow - up care .

5- advice the client , to call heatlh care provider if you have any of the following;

Increasing pain ,redness, swelling or drainage in the infected area.

Fever 100.4 degree ferenhite or more