part 3 Flashcards
1
Q
What are the central and peripheral muscle relaxants involved with the drug therapy for fractures?
A
- carisoprodol (Soma)
- cyclobenzaprine (Flexeril)
- methocarbamol (Robaxin)
2
Q
Explain a peripheral vascular assessment.
A
- 6 P’s
- color
- temperature
- cap refill
- peripheral pulses
- edema
- sensation
- motor function
- pain
3
Q
What are the 6 P’s?
A
- pain
- paresthesia
- pulse (compare)
- pallor
- pressure
- paralysis
4
Q
What are the overall goals for a pt with a fracture?
A
- have healing with no associated complications
- obtain satisfactory pain relief
- achieve max rehab potential
5
Q
Where can pt’s with fractures be treated?
A
ER
of
Dr’s office
6
Q
If a surgical intervention is required to treat a fracture what types of preop pt teaching prep will the pt need?
A
- immobilization
- assistive devices
- expected activity limitations
- assure that needs will be met
- pain medication
7
Q
What are some immobility complications that need to be prevented?
A
- constipation
- renal calculi (due to bone demineralization)
- cardiopulmonary deconditioning
- DVT/pulmonary emboli
8
Q
What types of things need to be done if a traction device is in place?
A
- inspect exposed skin
- monitor pin sites for infection
- pin site care per policy
- proper positioning
- exercise as permitted
- psychosocial needs
9
Q
Describe what should be done if a pt has a cast?
A
- frequent neurovascular assessments (6P’s)
- ice for first 24 hours
- elevate for first 48 hours
- exercise joints above and below injury
- use hair dryer on cool setting for itching
- check with HCP before getting wet
10
Q
What things does a pt need to be taught to report about cast care?
A
- increasing pain
- increase in swelling
- burning or tingling
- sores or foul odor
