Exam 4- Safety and Security/Hazards of Immobility Flashcards
Hazards of Immobility: Contractors
Shortening of muscle r/t post cva, part of brain died to provide muscle stimulus for extremities to work. Ligaments and muscle shortens= curl up fetal pos.= death
AVOID BY ROM, ACTIVITY, SPLINTS
Hazards of Immobility: Ankylosis
Bone is set. Only way to reverse is surgically to cut bone.
Hazards of Immobility in regards to Respiratory changes
Atelectasis
Hypostatic Pneumonia
Hazards of Immobility in regards to changes in metabolism
Decreased response to energy requirements
Negative nitrogen balance
Hazards of Immobility in regards to fluid and electrolyte imbalances
Shifts in blood flow to kidneys cause DIURESIS, which causes losses in sodium, potassium and calcium
Hazards of Immobility in regards to GI changes
decreased peristalsis=CONSTIPATION
Hazards of Immobility in regards to CVS changes
Orthostatic hypotension, circulatory volume, Increased HR, risk for DVT
Hazards of Immobility in regards to Musculoskeletal changes
Loss of strength, endurance, and muscle mass
Joint contractures
Disuse= Osteoporosis
Hazards of Immobility in regards to Integumentary changes
pressure on skin
weight on bony prominences
ischemia= skin breakdown
Hazards of Immobility in regards to Urinary elimination changes
urinary stasis due to position changes
renal calculi from calcium lodge in renal pelvis= KIDNEY STONES
What may orthostatic hypotension cause?
SYNOCPY\faint episode
Stage I pressure ulcer
reddened area, nonblanchable- push with thumb, blood stays red on skin not white
Stage II pressure ulcer
area of skin is no longer intact no matter what size skin fell off
Stage III pressure ulcer
going into SubQ area, deepening of wound
Stage IV pressure ulcer
down into muscle, bone and fascia
