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Rheumatoid Arthritis
what is it
How is it characterized
Which Joints
Age
Antigen trigers formation of what immunoglobulin
What is RF (rheumatoid factor)
What happens with the immunoglobulin
Neutrophil Part
T Helper Cells (CD4)
What are the primary inflammatory factors
Genetic link
Four Stages of Rheumatoid Arthritis
I:
II:
III:
IV:
Nonspecific Manifestations
Precipitating Factors
Specific articular involvement Manifestations
How do Joint Symptoms Occur and where
Characteristic Joint Stiffness
Morning Stiffness May Last
What typically swells
Cervical spine effect of RA and Axial Skeleton
When can spindle shaped fingers occur
Why
Effect of motion on pain
Is it always porportionate
What is Subluxatoin
Swan Neck
Boutonniere Deformity
Extraarticular Manifestations
Sjogren's Syndrome
Felty Syndrome
DIAGNOSTICS:
What is the Key Diagnostic
What hapens to synovial fluid
What indicates inflammation
What indicates progressive joint damage
What level is Synovial fluid at
X-ray and Rheumatoid Arthritis
Bone scan and RA
Factors found in later disease
Factors of Advanced Disease
What monitors disease progression and tx effectiveness
Physical Therapy vs. Occupational Therapy
What is the cornerstone for RA as a drug
DMARDS
Intraarticular or Systemic Corticosteroids
Intraarticular or Systemic Corticosteroids
NSAID
NSAID method and nursing indicaitons knowledge to know
Biologic and Targeted Therapy
Tumor Necrosis Factor
Tumor Necrosis Factor Knowledge
Interleukin Receptor 1 Antagonist
Interleukin Receptor-6 Antagonist
T Cell Activator
B Cell Depleting Agent
Surgery: Synovectomy
Arthroplasty
Acute Intervention
Nursing interventions
Possble Diagnostic Findings
Intervention Assessments Begin With
Splinting
Stiffness Care
REST
Total Bed Rest
Bed
Flexion vs. Extension
Pillow under knees
Joint Protection
Heat and Cold Therapy
I Participate in Recreational Activity... So I Don't Need Therapeutic Exercise, Right?
Exercise
How Often
What Allows Easier Movement
During Accute Inflamation What?
What Does Each DO:
NSAID
DMARDs
CORTICOSTEROIDS
BIOLOGICS
