*NURSING > EXAM REVIEW > Nursing Management- Musculoskeletal Problems. RNSG 1441-1000 Chapter 64 (All)
FOCUS ON MUSCULOSKELETAL PROBLEMS (Relates to Chapter 64, “Nursing Management: Musculoskeletal Problems,” in the textbook) OSTEOMYELITIS • Severe infection of the Bone Bone marrow ... Surrounding soft tissue • Caused by variety of microorganisms • Most common microorganism is Staphylococcus aureus. ETIOLOGY AND PATHOPHYSIOLOGY • Infecting microorganisms lodge in area, growth results in ↑ pressure, eventually leading to bone ischemia. Once ischemia occurs, the bone dies • Antibiotics in conjunction with surgical treatments have decreased mortality rate and complications. • Infecting microorganisms can invade by Indirect entry Direct entry INDIRECT ENTRY • Frequently affects growing bone in boys <12 years old Associated with increased incidence of blunt trauma Most common sites of indirect entry • Distal femur • Proximal tibia • Humerus • Radius • Adults with increased risk Vascular disorders Genitourinary and respiratory infections Spread infection from blood to bone Vascular-rich bone sites • Pelvis • Tibia • Vertebrae [Show More]
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