Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NBCOT musculoskeletal system disorders > Burns > Flashcards

Burns Flashcards

1
Q

Burn on anterior neck
contracture tendency?
Anti-Contracture positioning?

A
  • with neck flexion

- extend the neck, neck extension, and remove pillows

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Burn on Axilla
contracture tendency?
Anti-Contracture positioning?

A
  • Adduction
  • 120 degrees abduction with slight external rotation, axilla splint or positioning wedges, watch for signs of brachial plexus strain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Anterior elbow
contracture tendency?
Anti-contracture positioning?

A
  • Flexion

- elbow extension splint in 5-10 degrees flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dorsal wrist
contracture tendency?
Anti-contracture positioning?

A

-wrist extension
-wrist support in neutral
volar splint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Volar wrist
contracture tendency?
Anti-contracture positioning?

A
  • wrist flexion

- wrist cockup splint in 5-10 degrees flexion?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hand dorsal
contracture tendency?
Anti- contracture positioning?

A
  • claw hand deformity
  • Functional hand splint, intrinsic plus splint, antideformity splint, or safe position splint with MP joints 70-90 degrees, IP joints fully extend, first web opening, thumb in opposition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hand volar
contracture tendency?
Anti-contracture positioning?

A
  • palmar contracture

- palm extension splint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hip- anterior
contracture tendency?
Anti-contracture positioning?

A
  • hip flexion

- prone positioning, weights on thigh in supine; knee immobilizer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

knee
contracture tendency?
Anti-contracture positioning?

A
  • knee flexion

- knee extension positioning and/or splints; prevent external rotation which may cause peroneal nerve compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Foot
contrature tendency?
Anti-contracture positioning?

A
  • foot drop

- Ankle at 90 degrees with foot board or splint; watch for signs of heel ulcer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Terminal device
movement?
intervention?

A

-humeral flexion with scapular abduction (protraction) on the side of amputation
-manually guide patient through motions
for transhumeral prostheses keep elbow unit locked in 90 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

wrist unit
movement?
intervention?

A

-Rotate TD to supination (fingers of hook up), midposition (fingers toward midline), or pronation (fingers down)
For uni-lateral amputation patient uses sound hand to rotate TD
For bi-lateral amputation rotate TD against stationary object, between knees, or with contralateral TD
-Have patient analyze the task and determine the most efficient approach for grasp (avoiding excessive or awkward movements)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Elbow unit
movement?
intervention?

A

-Depress arm while extending and abducting humerus to lock or unlock elbow mechanism.
Practice flexing and locking elbow in several planes
- Manually guide patient through motions. Begin w/ elbow unlocked, patient listens for click as lock activates. Have patient exaggerate movements initially, and use a mirror
-Use humeral flexion to flex the elbow; go beyond desired height, since the arm will drop with gravity pull as patient is in the process of locking the elbow unit.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Turntable
movement?
intervention?

A

-Rotate elbow turntable toward or away from body using sound hand.
With bilateral amputations push or pull against stationary object to rotate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q 
superficial partial thickness burn
second degree burn
involves?
healing time?
intervention?
A

involves dermis and epidermis no grafting necessary heals in 7-21 days
-wound care and debridement sterile whirlpool and dressing changes, gentle AROM and PROM, edema control, splinting, occupational role activities and ADL’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q 
deep partial thickness burn
second degree burn
involves?
healing time?
intervention?
A

involves the epidermis and deep portion of the dermis healing time. sensation may be impaired, 21-35 days could lead to full thickness burn with infection
-wound care and debridement sterile whirlpool and dressing changes, gentle AROM and PROM, edema control, splinting, occupational role activities and ADL’s

17
Q

full thickness burn

third degree burn

A
  • involves epidermis, dermis, hair follicles, sweat glands, and nerve endings sensation is absent requires skin grafting-transplantaion of tissue or skin to another person
  • first 72 hours dressing changes, splint at all times
  • 5-7 days begin AROM, light ADL and meaningful activities
  • when wounds are healed use massage, order compression garments, provide otoform/elastomer inserts
18
Q

burns to hand

name all types of splints

A
  • wrist 20-30 degrees extension
  • mcp joints in 70-90 degree flexion
  • ip joints fully extended
  • thumb abducted or extended
  • functional splint, antideformity splint, intrinsic splint, or safe splint
19
Q

web space burn

splint?

A

C splint

20
Q

hypertrophic scar

A

appears 6-8 weeks after wound closure compression garments should be worn 24 hours a day

21
Q

electrical burns

A

check sensation

22
Q

stages of wound healing

A

inflammation, proliferation, and remodeling

NBCOT musculoskeletal system disorders (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions