med surg test 2 part 7 Flashcards
3 major concerns of post op period
infection
atelectasis
bleeding
What kind of fracture has the highest DVT risk
knee
If you see an area is swollen, the number 1 thing to assess is
pulse
if there are multiple fractures you watch out for
fat emboli
In a fracture, some degree of ___ is expected
swelling
When you help someone out of bed, help them on their __ side
strong
Osteomyletis Tx (2 things)
3 months Abx PICC line (they're going home with it)
Comminuted fracture, 2 complications
fat emboli
hemorrhage
4 substances that increase risk for osteoporosis
steroids
caffeine
alcohol
smoking
Normal BMD range
-1 to +1
2 diseases that increase risk for osteoporosis
CKD (kidney problem)
hyperparathyroidism
CKD patients are in a constant state of
acidosis
Biggest issue with prosthetics (like hip replacement) is
dislocation (so watch out for how you position them etc)
2 things that are a “gotcha” for hip fracture
external rotation
leg shortening
Hip fracture, biggest thing to check is
circulation
First thing you check for with hip fracture pt
mental status
Validate its a hip fracture with this test
x ray
If the person has been laying on the floor for a long time, or has other reason to suspect muscle damage, test for
CK
The complication of elevated CK (from muscle damage) is
renal problems
Total hip arthroplasty is aka
totally replacing the ball and socket
THA patient is not allowed to
lean forward more than 90 degrees
THA home modification
raised toilet seat
When fiber glass cast is drying, place it on
a soft pillow
because someone with a cast is at risk for DVT, they may need to go home on what meds
lovanox or aspirin