Mobility - Amputation

Question 1

In amputation, we want to preserve the ______ while removing all infected, pathologic, or ischemic tissue.

Answer 1

In amputation, we want to preserve the GREATEST EXTREMITY LENGTH AND FUNCTION while removing all infected, pathologic, or ischemic tissue.

Question 2

How are amputations recorded?

Answer 2

Amputations are recorded as ABOVE or BELOW the NEARTEST JOINT

Question 3

_____ creates a weight bearing stump that prosthetic devices can be attached to.

Answer 3

CLOSED AMPUTATION creates a weight bearing stump that prosthetic devices can be attached to.

Question 4

_____ are emergent or for infection; followed with secondary closure.

Answer 4

GUILLOTINE AMPUTATIONS are emergent or for infection; followed with secondary closure.

Question 5

Immediate postoperative prosthesis - carefully observe the surgical site. If excessive bleeding occurs, notify the surgeon IMMEDIATELY. A ____ must always be available for emergency use.

Answer 5

Immediate postoperative prosthesis - carefully observe the surgical site. If excessive bleeding occurs, notify the surgeon IMMEDIATELY. A SURGICAL TOURNIQUET must always be available for emergency use.

Question 6

______ are required for patients who have had amputations above the knee or below the elbow, older adults, and those with infection.

Answer 6

DELAYED PROSTHETIC FITTINGS are required for patients who have had amputations above the knee or below the elbow, older adults, and those with infection.

Question 7

After amputation, elevate the stump for the first _____; but _____.

Answer 7

After amputation, elevate the stump for the first 24 - 48 HOURS; but NOT CONTINOUSY.

Question 8

How do you avoid contractures (shortening/hardening of muscles and related areas) with amputations?

Answer 8

• Elevate limb, no more than 1 hour at a time
• IF leg amputation, lie in PRONE position TID with hip EXTENDED
• Avoid placing pillows between the patients legs OR under the back

Question 9

Post Op care for amputation:

Push the residual limb into a __________, then into a __________, and finally against a __________ to prepare for prosthesis fitting and to reduce the incidence of phantom limb pain

Answer 9

Push the residual limb into a SOFT PILLOW, then into a FIRMER PILLOW, and finally against a HARD SURFACE to prepare for prosthesis fitting and to reduce the incidence of phantom limb pain

Question 10

Post Op care for amputation

_________ the stump to wrap it - to prevent edema and vascular stasis.

Answer 10

ELEVATE the stump to wrap it - to prevent edema and vascular stasis.

Question 11

Post op care for amputation:

Provide peri-wound skin care as ordered

Avoid __________

Answer 11

Avoid LOTIONS

Question 12

Post op care for amputation:

unwrap the stump dressing every __________ for the first __________ postoperatively and then __________

Answer 12

unwrap the stump dressing every 4 - 6 HOURS for the first 2 DAYS postoperatively and then AT LEAST ONCE DAILY.

Question 13

Do NOT __________ the residual limb

Answer 13

Do NOT DANGLE the residual limb

Question 14

Post op care for amputation:

__________ improves healing, shrinks residual stump, decreases edema

Answer 14

COMPRESSION BANDAGE improves healing, shrinks residual stump, decreases edema

Question 15

Compression bandage

Answer 15

wear except when bathing or doing PT

This bandage may be an elastic roll applied to the residual limb or a residual limb shrinker, which is an elastic stocking that fits tightly over the residual limb.

Question 16

Residual limb care:

Inspect the residual limb __________ for signs of skin irritation, especially redness, abrasion, and odor.

Pay particular attention to areas prone to __________.

Answer 16

Inspect the residual limb DAILY for signs of skin irritation, especially redness, abrasion, and odor.

Pay particular attention to areas prone to PRESSURE.

Question 17

Residual limb care:

Wash the residual limb thoroughly each night with warm water and __________ .
Rinse thoroughly and dry gently.

Expose the residual limb to air for __________.

Answer 17

Wash the residual limb thoroughly each night with warm water and BACTERIOSTATIC SOAP .
Rinse thoroughly and dry gently.

Expose the residual limb to air for 20 MINUTES.

Question 18

Residual limb care:

Do not use lotions, alcohol, powders, or oil on residual limb unless __________

Answer 18

Do not use lotions, alcohol, powders, or oil on residual limb unless PRESCRIBED BY THE HCP.

Question 19

Residual limb care:

Wear only a residual limb sock in good condition and supplied by the __________

Change residual limb sock __________.

Launder in mild soap, squeeze, lay flat to dry.

Answer 19

Wear only a residual limb sock in good condition and supplied by the PROSTHETIST.

Change residual limb sock DAILY.

Launder in mild soap, squeeze, lay flat to dry.

Question 20

Residual limb care:

Perform __________ to all joints daily.

Perform general strengthening exercises (including for upper extremities) __________.

Answer 20

Perform RANGE OF MOTION (ROM) to all joints daily.

Perform general strengthening exercises (including for upper extremities) DAILY.

Question 21

Residual limb care:

Do not __________ residual limb on a pillow.

Answer 21

Do not ELEVATE residual limb on a pillow.

Question 22

Residual limb care:

Lay prone with hip in extension for:

Answer 22

Lay prone with hip in extension for 30 MINUTES 3 - 4 TIMES DAILY.

Question 23

Prosthesis care:

Wear __________ over residual limb

Answer 23

Wear STOCKINGETTE over residual limb

Question 24

Prosthesis care:

Clean daily with __________

Answer 24

Clean daily with MILD SOAP.

Question 25

Prosthesis care:

Evaluate metal and leather pieces for __________ and ____________.

Answer 25

Evaluate metal and leather pieces for WEAR and SECURE ATTACHMENT.