Orthopedics

Question 1

What do you do with open fractures

Answer 1

Cover them with something sterile

Question 2

Most important tin about orthopedics are…

Answer 2

neurovascular checks!

Question 3

What type of fracture do you see fat emboli

Answer 3

Pelvic fractures, crushing injuries and long bone injuries.

Question 4

Symptoms of fat emboli

Answer 4

Petechia, rash over check, conjunctival hemorrhages, snow storm on CXR, young males are risk takers, happens in 1st 36 hrs.

Question 5

Treatment for compartment syndrome

Answer 5

Elevate extremity, soft cast to allow swelling then rigid cast, loosen cast to restore circulation, fasciotomy, cast cutters to remove cast.

Question 6

Cast care

Answer 6

ice packs on the side for first 24hrs because cast is still wet. (not on top of it), no indentations, use palms for 1st 24 hrs, keep uncovered and allow for air drying, rest on soft pillows, no plastics, mark breakthrough bleeding, circle area, date and time site. Cover cast close to groin with plastic (once dry), neuro checks with 5ps

Question 7

What is the 1st thing you do if a client complains of pain and they have a cast?

Answer 7

Neurovascular check

Question 8

What type of exercise can the client do while confined to the bed

Answer 8

Isometric (squeezing or tensing muscles); increase venous return, maintains muscle strengths.

Question 9

what intervention for phantom pain

Answer 9

Diversional activity