Peds Ch 40 Musculoskeletal Flashcards
What are some differences between a childs MS system and an adults
kids have epiphyseal growth plates
spongy bones- easier to break or bend
What is the reason an infant has soft spots
during delivery, the bones can move
What is osteomyelitis
infection in bones-pus in the bones
What is the most common causative organism of osteomyelitis
staph
What is the treatment for osteomyelitis
antibiotic
What are the different types of fractures
complete, simple/closed, compound/open, spiral, incomplete, greenstick
Which type of fracture is suggestive of abuse
spiral fracture
What are nursing care tips for a child in a cast
don’t put anything inside the cast
What is very important to assess with a cast
Pain, pulse, pallor, paresthesia, paralysis
Why are ice and elevation important
will help reduce swelling
what can indicate infection
drainage on cast
What can go into the cast
nothing
what should be done for a child in skeletal traction
clean the pins
What are the rules to follow for a patient in traction
don’t get up
weight’s off floor
don’t take traction off
traction and counterweight is there
If a child has a short term inability to walk, what is the most common assistive device ordered
crutches
if crutches tend to cause pain, what is most likely the problem
the crutches are too high or too low
What is LEGG CALVE Perthes disease
aseptic necrosis of head of femur
What type of exercise might be appropriate for a child with Legg calve perthes
non-contact exercise
what is scoliosis
lateral curvature of spine
what is the treatment for scoliosis
brace
what are teaching tips for a brace
wear it all the time!
what is duchenne muscular dystrophy
recesssive degeneration of muscles
what is duchenne muscular dystrophy caused by
hereditary
what is the sign in which the child climbs up his legs
gowers sign
