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Musculoskeletal Care Modalities

QuestionAnswer
what are classifications of fractures complete, incomplete comminuted by location
what is compartment syndrome incr tissue pressure in limited space(cast) that compromised circulation, cast must be bivalved
What causes footdrop? injury to peroneal nerve due to pressure,Especially in traction..can't flex foot.
What should the nurse do to monitor for cast syndrome cast syndrome has psychological and physiological effects. Nurse should note bowel sounds Q 4 to 8 hrs. Check for distention, nausea, vomiting - TREATMENT: nasogastric intubation with suction and IV fluid til motility restored
Home care with a cast control swelling- elevate to heart level
What are immobiliztion techniques for fractures cast/splint, traction, external, internal fixators
what do external fixators do? manage open fractures and provide stable support for comminuted fractures.
what is purpose of traction? to minimize muscle spasms, reduce, align, reduce deformity, incr space in opposing surfaces
types of traction: manual, skin and skeletal manual skin: Bucks(lower leg), cervical, pelvic. No more than 4.5 to 8lbs, 10-20 on pelvic. Asses circ. Q15m then Q1-2hrs Skeletal: thomas splint, halo. 15-25lbs. Balanced, must maintain alignment
Complications of traction pin site infection, CMS/peroneal nerve damage, joint stiffness, arthritis, mal-union
what is ORIF open reduction with internal fixation,
Prophylactic antibiotics before surgery is best when given how soon before? 60 min. prior to incision
what are some complications of total hip replacement surgery dislocation, wound drainage, thromboembolism, infecftion, heel pressure ulcer
what should the nurse do to prevent dislocation of hip positoin leg in abduction with wedge pillow, never flex over 90 degrees, head of bed 60 or less, avoid internal/ext rotation, hyperextension
with post surgery, what is a major risk? pin site infection, CMS/peroneal nerve damage, joint stiffness, arthritis, mal-union
what is ORIF open reduction with internal fixation,
Temp elevations within 48 hours after surgery can indicate waht? atelectasis/resp problems
Prophylactic antibiotics before surgery is best when given how soon before? 60 min. prior to incision
Temp changes in next few days indicates what? In 4-6 days? urinary tract infections Superficial wound infection
what are some complications of total hip replacement surgery dislocation, wound drainage, thromboembolism, infecftion, heel pressure ulcer
what should the nurse do to prevent dislocation of hip positoin leg in abduction with wedge pillow, never flex over 90 degrees, head of bed 60 or less, avoid internal/ext rotation, hyperextension
with post surgery, what are some major risks? hypovolemic shock- incr pulse(>100), incr resp,decr BP <90/60, narrow pulse press <20 Venous thromboembolus (MOST DNAGEROUS)- calf swelling, tenderness, warmth, redness FBS- fat emboli syndrome- resp distress, delirium, skin rashes(petechiae)
Temp elevations within 48 hours after surgery can indicate waht? atelectasis/resp problems
Temp changes in next few days indicates what? In 4-6 days? urinary tract infections Superficial wound infection
Created by: palmerag