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mus. 3/3 cont. mj

fractures cont. 3/3 mj

used to reduce fractures Traction
Traction Exerts a pulling force on a fractured extremity to provide alignment of the broken bone fragments.
Skin traction applied directly to the skin
used in hip and knee fractures Buck's traction
elevates knee Russell's traction
Skeletal traction provides a strong steady pull and can be used for longer periods of time
Gardner-Wells, Crutchfield, Vinke tongs and halo vest Skeletal traction
Important points about traction weights must hang freely, use padding at pressure points, assess pin sites for redness, drainage, odor.
Hip Fractures most common in the femoral neck and intertrochanteric regions
ORIF Open reduction internal fixation
most common cause of falls fracture of the hip
Colles' fracture break in the distal radius, usually when an outstretched hand is used to break a fall.
Pelvis fracture may require pelvic sling, skeletal traction, double hip spica cast, external fixation
Re-implantation usually involves microscopic resection of the detached limb (fingers and thumb)
Impaired Physical Mobility Nursing Implications ROM exercises of affected extremity, correct alignment of joints,assess stump for complications
Pain implications relaxation or imagery for distraction, heat/cold applications PRN, correct body alignment
Risk for Infection implications standard precautions/aseptic when needed, assess for s/s of infection q-shift, temp. and WBC baseline.
Risk for ineffective tissue perfusion implications neurovascualr checks, elevations of extremity, assess for compartment syndrome, freq. turning
Risk for Disuse Syndrome leads to conractures
Created by: vmichellejones

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