Trauma 3: Hip fxs

Question 1

what will we see when a pt has a hip fx (4)

Answer 1

external rotation
muscle spasm
shortening of affected extremity
severe pain & tenderness

Question 2

what management will happen with a hip fx pt (5)

Answer 2

immediate surgery
immobilization: buck’s
Periop care
postop care
ambu & home care

Question 3

what are post hip replacement do’s (5)

Answer 3

use elevated toilet seat
shower chair
pillow b/w legs for 1st 6 weeks
keep hip in neutral state
notify of severe pain, deformity, or loss of function

Question 4

post hip replacement do not’s

Answer 4

flex hip greater than 90 degrees
adduct hip
internally rotate hip
cross legs @ knees or ankles
put on own shoes or stockings w/out adaptive device for 4-6wks post surg
sit on chair w/o arms