Amputations

Question 1

Best tx for sig blood loss and mangled limbs

Answer 1

Tourniquet - really no other tx that works

Question 2

Rule for tourniquet is called..

Answer 2

role of 2s

Question 3

Role of 2’s

Answer 3

2” above wound
2” wide
2” Turn tourniquet twice

If this doesn’t work apply a 2nd tourniquet 2” above the first

Question 4

Care of the amputated part

Answer 4

1. Remove gross contamination by irrigating w/ NS
2. Wrap in saline-impreginated gauze
3. Cover to prevent freezing
4. Preserve at 4 degrees celsius (1/2 ice and 1/2 water) Put it in plastic w/ water proof tape

Question 5

2 things to keep in mind w/ amputated part and water/ice

Answer 5

Ice decreases circulation so don’t put it right on top

Water causes hypertonic = swelling so wrap it in a bag w/ water proof tape

Question 6

Puncture wound is bad because

Answer 6

deeper than wide - higher rates of infection due to the bacteria traveling deep - what did it poke? - Is the object retained?

Question 7

Puncture wound you???

Answer 7

SOAK.

Teach pt to soak wound 2-3 times a day for 2-4 days

Question 8

High pressure injury wound..

Answer 8

Pushes the fluid far into the limb - paint gun/grease gun

Question 9

Puncture wound at the bottom of the foot carry..

Answer 9

high rate for infection

Question 10

What happens when you step on a nail?

Answer 10

Body weight takes it high up and maybe into bone

Question 11

If the nail you step on goes through boot and sock?

Answer 11

Can take rubber or sock material = germs with it

Pseudomonas

Question 12

Pseudomonas can be from

Answer 12

environmental factors (dirt, soil, water, plants)