HIP Fracture, Amputation, Complications Flashcards
s/s hip fracture
-external rotation
-muscle spasm
-shortening of affected extremity
-severe pain and tenderness
nursing management for hip fracture
-surgery
-immobilization (bucks traction)
-pre/post-op care
-ambulatory and home care
how often do we do neurovascular checks
4 hours
what does the pt need when going to the bathroom
elevated toilet seat
what kind of pillow does pt need
abductor pillow
amputation assessment
-physical appearance of soft tissue
-preexisting illness
-skin temp
-sensory function
-quality of peripheral pulse
what is a closed amputation
performed to create a weight bearing residual limb or stump
post op care for amputation
-phantom limb
-ambulatory and home care
-pt and caregiver teaching
direct complications of fractures
-infection
-incorrect union
-necrosis
indirect complications of fracture
-compartment syndrome
-VTE
-fat embolism
-rhabdomyolysis
-hypovolemic shock
risk increased for infection when
-open fracture
-soft tissue injuries
what can they do in surgery for infection
surgical irrigation and debridement
compartment syndrome types
increased compartment contents
decreased compartment size
s/s compartment syndrome
-pain
-pressure
-parasthesia
-pallor
-paralysis
-pulselessness
pain unrelieved by drugs and that is out of proportion to injury is a sign of what
what else do you want to assess
compartment syndrome
urine output / kidney function
