musculoskeletal Flashcards
what are the 5p’s of a neuromuscular assessment
pain
pulse
pallor
paresthesia
paralysis
Treatment of a fracture
pain management
rice
immobilization
traction
considerations for traction
monitor temperature of extremity
ropes should hand freely
ensure proper alignment
circulation checks on extremity
no tension on the skin (breakdown)
monitor I&O
overhead trapeze
now weights on the floor
When is a halo device used
when there is a spinal cord injury to cervical spine
What is compartment syndrome
increased pressure within a confined space
increased pressure compromises circulation
causes distal tissue to become ischemic
tissue and nerve damage occurs
signs of compartment syndrome
extremely painful
limb feels tight
swelling
numbness
tingling
paralysis
diminished or absent pulses
decreased sensation
treatment of compartment syndrome
fasciotomy
Causes of rhabdomyolysis
injury to skeletal muscle burns, trauma, compartment syndrome
muscles release their intracellular contents Into blood
become toxic to circulation
signs of rhabdomyolysis
vomiting
dark urine
brising
muscle weakness
fatigue
Treatment of thabdomyolysis
fluids
diuretics
dialysis
bedrest
monitor electrolytes and ck
why give diuretics for rhabdo
decrease swelling
increased uop
flush out toxins
symptoms of a fat embolism
hypoxia
dyspnea
tachypnea
confusion
altered LOC
petechial rash
associated with orthopedic fracture (long bone, pelvic)
