chapter 32 part 9 Flashcards
about how many __ of all limb amputation involves the lower extremities
80
the most common reason for amputation of a lower limb are related to
peripheral vascular disease
diabetes mellitus
resultant gangrene,
other reason for amputation of a lower limb are related to
severe trauma,
malignancy
congenital defects
military injuries from shrapnel and land mines.
about how many ___of limb amputation involves the upper extremities
70
the most common reason for amputation of a upper limb are related to
crushing blows,
thermal
electric burns
severe lacerations,
vasospastic disease,
malignancy,
infection.
Care After Accidental Amputation
Rinse the detached part only enough to remove visible debris.
Wrap the part in a clean, damp cloth.
Place the part in a sealed plastic bag or in a dry, water-tight container.
Immerse the bag or container in a mixture of water and ice (3 parts water to 1 part ice).
Do not let the part get wet or freeze.
Alternatively, place the container in an insulated cooler filled with ice.
If no ice is available, keep the part cool; do not expose it to heat.
Tag the bag or container with the person’s name and the name of the body part and take it to the hospital with the person.
preoperative care for amputation
Patient participation in decision making(make sure thy understand the reason for it)
Stages of loss and grieving
Phantom sensations
Physical preparation
*Muscle strengthening exercises
Postoperative Care for amputation what are two most immediate problem after amputation
hemorrhages and edema
Monitoring for excessive bleeding
Dressing care
a lower extremity amputation is not elevated for more than
24 hours because of the danger of hip contractures
what should you give if the pt is experiencing phantom limb
what is another way to help w/ phantom limb sensation
IV infusion of ketamine
miacalcine
Transcutaneous electrical nerve stimulator
Stump stocking
works by blocking external electromagnetic impulses from the outside
stump stocking
what are Alternative modes for managing stump after amputation
Soft dressing with delayed prosthetic fitting
Rigid plaster dressing and early prosthetic fitting
Rigid plaster dressing and immediate prosthetic fitting
a pt w a lower extremity amputation should lie prone for how long
20 to 30 min
-every 3 to 4 houre
some other Postoperative Care for Amputation
Adequate healing and weight bearing
Abduction contractures and proper positioning
Adjusting to the new center of gravity
Patient teaching: stump care, activity and weight bearing, and exercise
Rehabilitation
Community care
Adequate healing and weight bearing should be
Below-the-knee amputation is better to begin walking and weight bearing than above-the-knee amputation.
