The list of treatments mentioned in various sources for Periostitis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
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If the patient has acute leg pain and a history of trauma, quickly take his vital signs and determine the leg’s neuro-vascular status. Observe the patient’s leg position and check for swelling, gross deformities, or abnormal rotation. Also, be sure to check distal pulses and note skin color and temperature. A pale, cool, and pulseless leg may indicate impaired circulation, which may require emergency surgery.
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
If the patient has acute leg pain and a history of trauma, quickly take his vital signs and determine the leg’s neurovascular status. Observe the patient’s leg position, and check for swelling, gross deformities, or abnormal rotation. Also be sure to check distal pulses and note skin color and temperature. A pale, cool, and pulseless leg may indicate impaired circulation, which may require emergency surgery.
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
▪ If the patient has acute leg pain, closely monitor his neurovascular status by frequently checking distal pulses and evaluating the legs for temperature, color, and sensation.
▪ Monitor thigh and calf circumference to evaluate bleeding into tissues from a possible fracture site.
▪ Prepare the patient for X-rays.
▪ Use sandbags to immobilize his leg; apply ice and, if needed, skeletal traction.
▪ If a fracture isn't suspected, prepare the patient for laboratory tests to detect an infectious agent or for venography, Doppler ultrasonography, plethysmography, or angiography to determine vascular competency.
▪ Withhold food and fluids until the need for surgery has been ruled out.
▪ Administer an anticoagulant and antibiotic as needed.
▪ Explain the use of anti-inflammatory drugs, ROM exercises, and assistive devices.
▪ Discuss lifestyle changes that should be made.
▪ Teach appropriate positioning to enhance blood flow and venous return.
▪ Discuss the need for physical therapy.
Source: Nursing: Interpreting Signs and Symptoms, 2007
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