Brainscape's Knowledge GenomeTM

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


See full index

Human Needs 1 > lewis ch 62 fractures and amputation > Flashcards

lewis ch 62 fractures and amputation Flashcards

1
Q

7 types fractures

A
  • avulsion
  • overriding
  • comminuted
  • oblique
  • transverse
  • green stick
  • spiral
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 locations fractures

A

distal
medial
proximal

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

possible complications fractures (7)

A
  • delayed / nonunion
  • angulation
  • infection
  • acute compartmental syndrome
  • venous stasis
  • thrombus
  • fat embolism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

2 risk factors fractures

A

trauma

pathological

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

examples pathological risk factors for fractures (4)

A
  • osteoporosis
  • multiple myeloma
  • osteogenic sarcoma
  • metabolic diseases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

S+S fractures (7)

A
  • pain
  • edema
  • deformity
  • decreased function
  • false movement
  • crepitation
  • decreased sensation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

5 Ps

A 
pain
pulse
pallor
paresthesia
paralysis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

musculoskeletal side efect corticosteroids

A

osteoporotic ractures

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

expected S+S fractures (7)

A
  • pain
  • guarding
  • skin lacerations
  • hematoma, edema
  • restricted function
  • crepitation
  • muscle weakness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

concerning S+S fractures (4)

A
  • decreased/absent pulse, decreased skin temp
  • delayed capillary refill
  • paresthesias
  • absent, decreased or increased sensation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

peripheral vascular assessment (4)

A
  • color and temp
  • cap refill
  • pulses
  • edema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

peripheral neurologic assessment (3)

A
  • motor function
  • sensory function
  • paresthesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

S+S local infection (3)

A
  • REEDA
  • pain
  • decreased function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

S+S systemic infection (6)

A
  • increased WBC
  • increased HR, RR, temp
  • malaise
  • shivering
  • nausea
  • anorexia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

REEDA

A 
redness
edema
ecchymosis
drainage
approximation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

6 Ps compartment syndrome

A
  • pain
  • pressure
  • paresthesia
  • pallor
  • paralysis
  • pulselessness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

s+s venous thromboembolism

A

warm, red extremity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

S+S fat embolism (3)

A
  • tachypnea, SOB
  • petechiae
  • pt report of “impending doom”
19
Q

common places fat embolism (4)

A
  • femur
  • fib
  • tibia
  • pelvis
20
Q

recommended fluid intake post-op

A

2500 mL/day

21
Q

cast care (3)

A
  • frequent neurovascular assessments
  • ice over cast for first 24 hours
  • elevate for first 48 hours
22
Q

what should you report with a cast (4)

A
  • increasing pain
  • swelling associated with pain, discoloration, movement
  • burning or tingling
  • sores or foul odor
23
Q

what could a warm cyanotic limb indicate

A

poor venous return

24
Q

6 cast care do nots

A
  • elevate if compartment syndrome is suspected
  • get plaster cast wet
  • remove padding
  • insert objects into cast
  • bear weight for 48 hours
  • cover cast with plastic for prolonged period
25
Q

4 purposes fracture immobilization through traction

A
  • prevent or decrease pain and muscle spasm
  • immobilize joint
  • reduce fracture or dislocation
  • treat pathologic joint condition
26
Q

2 most common types traction

A

skin

skeletal

27
Q

when is balanced traction (skeletal traction) most commonly used (3)

A

fracture of:

  • femur
  • hip
  • lower leg
28
Q

when is buck’s traction (skin traction) most commonly used (2)

A

fracture of:

  • hip
  • femur
29
Q

care of client in traction (TRACTION)

A 
Temperature
Ropes hang freely
Alignment
Circulation check (5 Ps)
Type + location fracture
Increased fluid intake
Overhead trapeze
No weights on bed or floor
30
Q

what can be delegated to UAP with pt in traction (3)

A
  • ensure ropes are hanging freely
  • assisting pt to use overhead trapeze for position changes
  • ensuring weights are hanging freely
31
Q

how do you walk up the stairs with crutches

A

“good (foot) goes to heaven (up)”

“bad (foot) goes to hell (down)”

32
Q

5 degrees of weight-bearing

A
  • non weight bearing
  • touch down/toe touch weight bearing
  • partial weight bearing
  • weight bearing as tolerated
  • full weight bearing ambulation
33
Q

complications post-op hip fractures (6)

A
  • DBT
  • neurovascular complications
  • pulmonary complications
  • skin breakdown
  • urinary retention
  • delayed complications
34
Q

risk factors hip fracture (5)

A
  • increased age
  • female
  • history osteoporosis
  • decreased estrogen
  • increased falls
35
Q

2 options treatment for hip fracture

A
  • buck’s traction

- surgery (internal fixation with hardware)

36
Q

S+S hip fracture (5)

A
  • pain
  • affected leg shortened
  • external rotation
  • possible deformity
  • ecchymosis
37
Q

complications hip fracture (8)

A
  • circulatory compromise
  • immobility complications
  • delayed/nonunion
  • fat embolism
  • nerve and vascular injury
  • infection
  • emboli
  • avascular necrosis
38
Q

stump wound care (3)

A
  • elevate first 24 hours
  • compression dressing
  • discourage semi-fowlers position
39
Q

stump care after wound has healed (4)

A
  • assess skin breakdown
  • wash and dry stump daily
  • don’t apply anything to stump
  • wear prosthesis
40
Q

4 possible reasons for amputation

A
  • peripheral arterial disease
  • atherosclerosis
  • diabetes: impaired circulation
  • trauma
41
Q

how long should pt wait after amputation to put full weight on it

A

3 months

42
Q

how long should pt use prosthetic limb for during day

A

all day to avoid limb swelling

43
Q

flexion contracture prevention for amputation (2)

A
  • avoid chair > 1 hour

- lay prone 30 min 3-4xday

44
Q

how often should amputee pt change limb sock and do ROM

A

daily

Human Needs 1 (27 decks)

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