Osteomyelitis Concept Map 4 pathophysiology map PDF

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concept map for osteomyelitis, pathophysiology of disease, assessment, interventions, etc....

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vSim Concept Map Worksheet OSTEOMYELITIS DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Bone inflammation caused by pyogenic bone infection. Spreads from adjacent soft tissue and joints through the blood or by direct inoculation from trauma or surgery or by local invasion from a contiguous infection such as an infected pressure injury, sinusitis or periodontal disease. Organism settles in a hematoma or weakened area and spreads directly to the bone. Pus develops and is forced through the haversian canals forming a subperiosteal abscess. Bone is deprived of its blood supply and necrosis results and stimulation of bone formation occurs as dead bone detaches and exists. May become chronic.

DIAGNOSTIC TESTS (REASON FOR TESTS AND RESULTS) White blood cell count and differential shows leukocytosis. Erythrocyte sedimentation rate and C-reactive protein levels are increased. Blood culture is positive.

PATIENT INFORMATION (SIGNS AND SYPMTOMS) Previous surgery or primary infection Fatigue Swelling or redness Refusal to use affected area

ANTICIPATED PHYSICAL FINDINGS Tachycardia Swelling Restricted movement over infection site Tenderness Redness Warmth Pus drainage Nonhealing ulcer Draining sinus

ANTICIPATED NURSING INTERVENTIONS Ensure patent IV access. Administer IV antibiotics, as ordered; inspect the IV site for signs and symptoms of infiltration and infection. Obtain specimens for laboratory testing, such as drug peak and trough levels, complete blood count, sedimentation rate, and C-reactive protein level to evaluate the effectiveness of treatment. Screen for and assess the patient's pain using facility-defined criteria that are consistent with the

patient's age, condition, and ability to understand. Treat the patient's pain, as needed and ordered, using nonpharmacologic, pharmacologic, or a combination of approaches. Closely monitor a patient who is prescribed opioid treatment and is identified as being at high risk for adverse outcomes. Reassess and respond to the patient's pain by evaluating the response to treatment and progress toward pain management goals. Use standard precautions and hand hygiene. Perform wound care, as ordered, using strict aseptic technique; obtain cultures of the site, as ordered....