Amputation Care

Question 1

How often should soft dressing and elastic wraps changed?

Answer 1

every day

Question 2

How often should rigid dressing be changed?

Answer 2

every 3 days

Question 3

Wound drainage

Answer 3

Sanguineous -> Serosanguineous -> Serous

Question 4

Indication for a bright red blood stain on the dressing

Answer 4

Hemorrhage

Question 5

Indication for a dark venous blood stain on the dressing

Answer 5

Draining hematoma

Question 6

Indication for a thickened discolored exudate stain on the dressing

Answer 6

Infection

Question 7

How long does a traumatic amputation usually heal?

Answer 7

2 weeks

Question 8

How long does a vascular amputation usually heal?

Answer 8

4-8 weeks

Question 9

How long do sutures or staples heal?

Answer 9

10-14 days post-op

Question 10

How long do steri strips heal?

Answer 10

2 wks p sutures/staples are removed

Question 11

A baseline for pre-prosthetic balance and walking abilities, and outcome measure for pre-prosthetic rehabilitation

Answer 11

Amputee Mobility Predictor Assessment Tool

Question 12

What type of assessment is the AMPPRO?

Answer 12

performance measure

Question 13

AMPPRO is used for pts who have…

Answer 13

Limb loss and impairment

Question 14

Subcategories of AMPPRO

Answer 14

AMPPRO
AMPnoPRO

Question 15

no. of items for AMPPRO

Answer 15

21

Question 16

no. of items for AMPnoPRO

Answer 16

20

Question 17

Indicates how much assistance is required
for the individual to carry out ADLs

Answer 17

Functional Independence Measure (FIM)

Question 18

FIM is used for pts who have…

Answer 18

CVA
SCI
Brain injury
Geriatric care
Mixed population

Question 19

no. of items for FIM

Answer 19

18 (13 motor & 5 cog)

Question 20

Highest score for FIM

Answer 20

126

Question 21

Lowest score for FIM

Answer 21

18

Question 22

Factors influencing prognosis include

Answer 22

Ambulation status (pre-op)
Overall physical fitness
Age
Ability to maintain single limb stance s assist
Wound healing
Contracture

Question 23

Contributing factors to poor prognosis include

Answer 23

Mod-severe Dementia
End-stage renal disease
Coronary Artery Disease
Decreased body mass

Question 24

How frequently are uncomplicated amputation treated?

Answer 24

4-7 days

Question 25

What is the duration for treatment of uncomplicated amputation?

Answer 25

30-45 mins; 1x/2x daily

Question 26

How frequently are frail and old pts c amputation treated?

Answer 26

21 or more days

Question 27

What is the duration for treatment of frail and old pts c amputation?

Answer 27

30-45 mins; 1x/2x daily

Question 28

Rehab aims to prevent

Answer 28

Post-op complications Deformities Stump edema

Question 29

Rehab aims to maintain

Answer 29

Strength and general mobility

Question 30

Other rehab goals

Answer 30

improve balance and transfer Re-educate ambulation and restore indep. Treat phantom pain

Question 31

Therapeutic modalities used for post-op

Answer 31

TENS Massage Superficial heat Cryo Mirror therapy

Question 32

Exercise to prevent post-op complications

Answer 32

Ankle pumps

Question 33

What is used to control stump edema?

Answer 33

Compression socks/bandaging specifically Juzo Socks

Question 34

How should the pressure be in bandaging a stump?

Answer 34

Moderately firm Evenly distributed Decreased proximally Extra pressure over the corners

Question 35

Pattern of bandaging

Answer 35

Diagonal, spiral, or oblique Non-circular

Question 36

How should the pt position in AKA bandaging?

Answer 36

Hip extension and adduction

Question 37

How should the pt position in BKA bandaging?

Answer 37

Slight knee flexion

Question 38

What are the things to do when walking s prosthesis?

Answer 38

Using firm compression socks or bandage during gait training Use crutch Normal alignment of the pelvis should be maintained

Question 39

How to prevent deformities?

Answer 39

Bed positioning and exercises

Question 40

Dos for BKA positioning in supine

Answer 40

Keep RL flat Keep legs close together Lie on a firm bed or couch

Question 41

Contraindicated position for BKA in supine

Answer 41

Pillow under RL or bet thighs (flexion and abduction) Cross legs (excessive add) Letting the RL dangle on the edge

Question 42

Dos in BKA standing

Answer 42

Standing up or walking every waking hour Hold RL pointing to the floor

Question 43

Donts in BKA standing

Answer 43

Hold RL in front our out when walking Resting RL on walker or cruches

Question 44

Exercises for High AKA

Answer 44

Hip extensor and adductor isoms

Question 45

Exercises for Low AKA

Answer 45

Hip extensor and abductor isoms