University:
Michigan State University
Course:
PHM 802 | Cellular, Molecular and Integrated Systems Pharmacology
Academic year:

2020
Views:

127

Pages:

1
Author:

Prince Sampson

       Education Strict medication adherence IV site hygiene Symptom monitoring Smoke cessation Physiotherapy adherence.  Pathophysiology Pyogenic bone infection causes bone inflammation known as osteomyelitis. The disease-causing organisms such as bacteria or fungi spread from adjacent soft tissues or sites of trauma and injury. The organism settles in hematoma, causing pus build up, thereby depriving bones of blood supply leading to necrosis.     Physical Assessment CT Scan of the site of inflammation X-ray of the bones MRI Ultrasound Primary Nursing Diagnosis Medical History Previous surgery or primary infection Fatigue Past swellings or redness Non-specific symptoms such as fever, drowsiness etc. Non-healing ulcer          Labs A complete blood count (CBC), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), Imaging Osteomyelitis Differential Diagnosis: Charcot Arthropathy    Medications Surgery to remove dead bone portions 8-12g/day Antibiotic IV for 46 weeks Analgesics Nursing Interventions  Encourage bed rest.  Antibiotics should be administered as directed.  Administer pain relievers as directed.  Encourage getting out of bed.  Provide deep venous thrombosis and pressure ulcer prevention.  Educate the patient about drug adherence.     Coping/Family Limited movement Increased rest Family support in chores Hygiene on the IV site

Osteomyelitis Concept Map

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