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NRTC med/surg ch. 61
| Question | Answer |
|---|---|
| Rigid mold that immobilizes an injured structure | Cast |
| In circles and arm or leg leaving fingers or toes | Cylinder cast |
| Surrounds one or both legs and the trunk often seen on kids has holes for elimination | Spica or hip cast |
| Encircles the trunk from nipple to iliac crest | Body cast |
| To keep fracture aligned the cast is placed | A joint above the brake to the Joint below it joint slightly flexed to decrease stiffness |
| How do you handle a wet cast | With your palms no fingertips |
| Cast liner that is waterproof to protect skin and allow for showers | Gore-Tex liner |
| Allows direct visualization of the skin usually used for wounds | Cast window |
| Why do you always place the top over a cast window | Edema will progress through the window |
| How does the skin appear after a cast is removed and how do you help it heal | Molted with yellow film and apply unscented lotion |
| After the cast is applied where does the patient go | X-ray to insure alignment |
| Cats cut in half to allow for edema resize cast of swelling decreases | Bivalve cast |
| What is priority after a cast is applied | Assessing circulation |
| Used short-term to immobilize an injured body part in a functional position | Splint |
| Long-term custom-fitted support to prevent additional injury | Brace |
| Restoring alignment to an injured bone | Reducing |
| Bone that is surgically exposed and realigned | Open reduction |
| Bone aligned via external manipulation | Closed reduction |
| Bone secured by Hardware inside the body | Internal fixation |
| Hardware is attached to the Bone through the skin | External fixation |
| What is the number one priority intervention to decrease risk of infection for external fixation | Good pin care |
| What solution is used to clean the pins on external fixation | Chlorhexidine |
| Pulling structures of the musculoskeletal system to align bones decrease muscular spasm and maintain and mobilization | Traction |
| Weighted device is applied to the skin that indirectly affect muscles and bones | Skin traction |
| Applied directly to a bone using a wire and pin | Skeletal traction |
| During traction weights always need to be | Suspended off the ground |
| After orthopedic surgery what is the goal before discharge | Joint will bend at a 90 degree angle |
| Three factors that delay wound healing | Diabetic obese over the age of 65 |
| Dislocation of an artificial joint | Subluxation |
| Replacement of both articulating surfaces of a joint | Total arthroplasty |
| Replacement of one articulating surface of a joint | Hemiarthroplasty |
| Joint reconstruction most common sites are the knee and hip | Arthroplasty |
| Removal of a limb | Amputation |
| type of amputation to remove infection a wound vac and often attached to it | Open amputation |
| Also known as flap amputation saved tissue wrapped around the stump | Closed amputation |
| Prosthesis tested on war vets will move with motor neural stimuli | Myoelectric arm |
| Nerves tingle and become a clump looks like a tumor of nerves | Stump neuroma |
| Feeling a limb after it has been amputated | Phantom limb |
| What medication is given for Phantom limb pain | Gabapentin or Neurontin |
| Loss of blood flow to Bone and the bone tissue dies | Avascular necrosis |
Created by:
LBerkey
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