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