Amputation Care Flashcards

1
Q

How often should soft dressing and elastic wraps changed?

A

every day

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2
Q

How often should rigid dressing be changed?

A

every 3 days

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3
Q

Wound drainage

A

Sanguineous -> Serosanguineous -> Serous

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4
Q

Indication for a bright red blood stain on the dressing

A

Hemorrhage

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5
Q

Indication for a dark venous blood stain on the dressing

A

Draining hematoma

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6
Q

Indication for a thickened discolored exudate stain on the dressing

A

Infection

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7
Q

How long does a traumatic amputation usually heal?

A

2 weeks

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8
Q

How long does a vascular amputation usually heal?

A

4-8 weeks

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9
Q

How long do sutures or staples heal?

A

10-14 days post-op

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10
Q

How long do steri strips heal?

A

2 wks p sutures/staples are removed

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11
Q

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

A

Amputee Mobility Predictor Assessment Tool

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12
Q

What type of assessment is the AMPPRO?

A

performance measure

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13
Q

AMPPRO is used for pts who have…

A

Limb loss and impairment

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14
Q

Subcategories of AMPPRO

A

AMPPRO
AMPnoPRO

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15
Q

no. of items for AMPPRO

A

21

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16
Q

no. of items for AMPnoPRO

A

20

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17
Q

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

A

Functional Independence Measure (FIM)

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18
Q

FIM is used for pts who have…

A

CVA
SCI
Brain injury
Geriatric care
Mixed population

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19
Q

no. of items for FIM

A

18 (13 motor & 5 cog)

20
Q

Highest score for FIM

A

126

21
Q

Lowest score for FIM

A

18

22
Q

Factors influencing prognosis include

A

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

23
Q

Contributing factors to poor prognosis include

A

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

24
Q

How frequently are uncomplicated amputation treated?

A

4-7 days

25
Q

What is the duration for treatment of uncomplicated amputation?

A

30-45 mins; 1x/2x daily

26
Q

How frequently are frail and old pts c amputation treated?

A

21 or more days

27
Q

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

A

30-45 mins; 1x/2x daily

28
Q

Rehab aims to prevent

A

Post-op complications
Deformities
Stump edema

29
Q

Rehab aims to maintain

A

Strength and general mobility

30
Q

Other rehab goals

A

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

31
Q

Therapeutic modalities used for post-op

A

TENS
Massage
Superficial heat
Cryo
Mirror therapy

32
Q

Exercise to prevent post-op complications

A

Ankle pumps

33
Q

What is used to control stump edema?

A

Compression socks/bandaging specifically Juzo Socks

34
Q

How should the pressure be in bandaging a stump?

A

Moderately firm
Evenly distributed
Decreased proximally
Extra pressure over the corners

35
Q

Pattern of bandaging

A

Diagonal, spiral, or oblique
Non-circular

36
Q

How should the pt position in AKA bandaging?

A

Hip extension and adduction

37
Q

How should the pt position in BKA bandaging?

A

Slight knee flexion

38
Q

What are the things to do when walking s prosthesis?

A

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

39
Q

How to prevent deformities?

A

Bed positioning and exercises

40
Q

Dos for BKA positioning in supine

A

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

41
Q

Contraindicated position for BKA in supine

A

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

42
Q

Dos in BKA standing

A

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

43
Q

Donts in BKA standing

A

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

44
Q

Exercises for High AKA

A

Hip extensor and adductor isoms

45
Q

Exercises for Low AKA

A

Hip extensor and abductor isoms