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OSTEOMYELITIS (Nursing management (Protect the affected extremity from…
OSTEOMYELITIS
Nursing management
Protect the affected extremity from further injury and pain by supporting the limb above and below the affected area.
Prepare the client for surgical treatment, such as debridement, bone grafting or amputation, as appropriate.
Administer prescribed medications, which may include opioid and non-opioid analgesics and antibiotics.
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- Provide local treatments as prescribed (e.g. warm saline soaks, wet to dry dressings)
- Provide a diet high in protein and vitamins C and D.
Clinical manifestations
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swelling, redness and warmth over the infection area
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risk factors
Your bones are normally resistant to infection, but this protection lessens as you get older.
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a severe bone fracture or a deep puncture wound gives bacteria a route to enter your bone or nearby tissue.
When blood vessels are damaged or blocked, your body has trouble distributing the infection-fighting cells needed to keep a small infection from growing larger.
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CAUSES
In most cases, a bacteria called Staphylococcus aureus, a type of staph bacteria, causes osteomyelitis.
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Pathophysiology
Circulation of infectious microbes through the bloodstream to susceptible bone leads to inflammation, increased vascularity and edema.
The organisms grow, pus forms within the bone, and abscess may form. This deprives the bone of its blood supply, eventually leading to necrosis.
Definition
Osteomyelitis is an infection of bone. Symptoms may include pain in a specific bone with overlying redness, fever, and weakness.
Medical Management
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Antibiotic medication is administered orally (on empty stomach) when infection appears to be controlled; the medication regimen is continued for up to 3 months
Surgical debridement of bone is performed with irrigation; adjunctive antibiotic therapy is maintained.