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