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Splints help prevent ___ _____ and _____ _____. fat emboli; muscle spasm
If client has an open fracture, what is tx? cover it w/something sterile
What are the neurovascular checks used? pulses, color, movement, sensation, capillary refill, temp
Which injuries could shock most likely occur? pelvic fractures; crushing injuries; long bone injuries
fat emboli are more commmon in ____ ____ in the first ________. young males; 36 hours
severe pain unrelieved with pain meds usually means compartment syndrome
what are the most common areas for compartment syndrome forearms; quadraceps
how do you prevent compartment syndrome? elevate extremity and use soft case first, then rigid.
If patient develops compartment syndrome, what can be done? bivalving cast or fasciotomy
healing doesn't occur at a normal rate delayed union
failure of bone ends to unite; may require bone grafting non-union
persistent discomfort w/movement may mean mal-union
in the first 24 hours, the nurse should use _______ when touching cast, not _______. palms of hands; fingertips
T/F: cast should be covered immediately after it is placed. no, should air dry to prevent trapping the heat next to the skin.
what is appropriate to use if the patient compalins of the cast itching? do not stick anything in cast! use a blow dryer on cool.
traction should be continuous
weights on traction should hang freely
what type of matress should patient have? firm
Buck's traction is a type of short term skin traction
buck's traction is usually used with hip and femoral fractures
skeletal traction uses wires and pins
skeletal traction is used when _______ ______ is needed. prolonged traction
Pin care should be performed with ____ ____. sterile technique
nurse should remember to _____ _____ during pin care. remove crust
patient with hip replacement post op wants to have legs_____. abducted (apart)
what exercises are recommended to patients confined to bed? isometric exercises
what should be used to prevent external rotation? trochanter roll
A patient with a total hip replacement should not ____ or ____. bend over; cross legs
best exercises for hip replacement patients in rehab? walking; swimming
After a total knee replacement-patient may be placed on continious passive motion machine
CPM prevents formation of ______ _____. scar tissue
Amputations are performed at the most ______ point that will heal. Doc tries to preserve the _____ and the _____. distal; knee; elbow
What should be placed by bedside after amputation? tourniquet
After an amputation, the extremity should not be placed on a _____ but rather the ______. pillow; foot of the bed elevated
After amputation, the extremity should be laying ____ on the bed. flat
We want the stump shaped like a ______. cone
what is worn under the prosthesis? limb sock
massaging the stump promotes _____ and decreases _____. circulation; tenderness.
Crutches should be ______ below the ______. 1-2 inches; axilla
When going up stairs on crutches _________. good leg first
When going down stairs on crutches _____. bad leg first
If standing on crutches and putting weight on axilla, _______ can occur. brachial damage
Created by: SouthernBelle