Peds surgical site infection Flashcards
Assessment findings that need immediate intervention post surgery of knee?
Elevated temp/chills, warmth/erythema around the knee, decreased peripheral pulses in affected leg, and sudden onset of pain/limited ROM
Allergic reaction to meds?
Itching and rash
Intervention to decrease pain for patient with septic knee?
Immobilize affected knee with splint to minimize movement (prevents further injury)
What happens in each body system as kids age?
CVS- BP increases, HR decreases
Resp- RR decreases, breathing more diaphragmatic, tonsils decreased in size
CNS- brain growth complete at 10 yrs
GI/GU- stomach capacity increases, more ability to retain food/urine for larger periods
MSK- growth=greater coordination/strenght,
Immune- develops until age 9
School age and play?
Play is therapy to kids. Best toys for them are lego, crayons, and paper board games
Different pain scales?
Self report is primary assessment tool if they are older/able to understand. Faces pain scale used/child points to what they’re feeling. Ouches pain scale using real faces of kids for pain
What is the cause of femur fractures in kids most often?
Accidental trauma like a fall
Complications of fractures?
Infection, a vascular necrosis, bone shortening, fat embolism, compartment syndrome, and there can be delayed/non/mal union
T or F: the younger the child, the quicker the bone heals
True
Do fractures result in less disability and deformity in kids vs adults?
Yes
Care for fractures?
Immobilize limb above/below injury site, cold therapy (ice for swelling) ,elevate injury above heart level, and frequent NSV checks (CMS- colour, cap refill, pulses, warmth, swelling, movement, sensation, pain)
Casting vs splinting?
C- used for fracture reduction, dislocation, and correction deformities
S- temporary fracture reduction, immobilization, support of sprains
Traction vs fixation uses?
T- minimizes/prevents trauma to spinal cord, fracture reduction
F- fracture, skeletal deformities
When are gait aids used?
Whoever weigh bearing is restricted (crutches)
Signs of infection?
Elevated WBC, elevated CRP, odour in drainage, purulent drianage
Positioning used post op?
Used to prevent pressure on surgical site, also elevate surgical site to reduce swelling/promote circulation.
Dx used for fractures?
X ray, ultrasound, CT scan, MRI, CBC (WBC elevated and Hgb decreased post op), culture of wound
What does creatinine kinase indicate when elevated vs CRP?
CK- muscle damage
CRP- marker of inflammation
Pain management?
Tylenol, NSAIDs (ibuprofen, ketorlac, naproxen) and opioids like morphine
