Fractures

Front 1

what is arthoplasty used for

Back 1

RA, OA

Front 2

what is arthoplasty

Back 2

surgical replacement or reconstruction of a joint

Front 3

arthoplasty outcomes

Back 3

relieves pain
improves or maintains ROM
corrects deformities

Front 4

cemetless THA work by

Back 4

for more active individuals

facilitiats bone tissue growth through porous surface coating the prostesis

Front 5

pt teaching for THA

Back 5

dont rotate less pass 90

dont cross leggs

dont reach leg behind

dont bend over

dont opperate a car or take tub bath for 4-6 weeks

keep knees appart

no turning of toe inward

Front 6

complications of hip surgery

Back 6

DIVVA

Front 7

DIVAA

Back 7

dislocation

infection

vein thrombosis

anemia

atelectasis or pneumonia

Front 8

PT procedure for day after with a noncemented joint

Back 8

wt baring and ambulation on operative side

Front 9

PT rocedure for day after with a cemented joint

Back 9

ambulation and wt bearing with walker

Front 10

most common causative organisms of infection of THA

Back 10

gram positive aerobic Stretococci and staphylococci

Front 11

initiation of warfarin following THA

Back 11

therapy starts on day of surgery and continues for 3 weeks

measure PT on regular basis

Front 12

initiation of enxaparin (Lovenox)

Back 12

24-36 hrs post op

continues for 2 weeks

Front 13

SE of lovenox

Back 13

thrombocytopenia so check platlet count

Front 14

fracture

Back 14

disruption or break in the contuity of the structure of bone

Front 15

clinical manifestation of a fracture

Back 15

edema and swelling

pain and tenderness

muscle spasm

deofrmity

loss of function

crepitation

contusion/ecchymosis

Front 16

closed reduction

Back 16

nonsurgical

manual realignment of bone fragments to their previous anatomic position

Front 17

open reduction

Back 17

surgical

use of wires, screws, pins, plates, rods, nails to get internal fixation

Front 18

traction use

Back 18

prevents or reduces muscle spasms

immobilize joint

reduce a fracture or dislocation

Front 19

clinical manifestations of a hip fracture

Back 19

external rotation and shortening in the effected leg

muscle spasm

severe pain and tenderness in the region of the fracture

Front 20

goals of ORIF

Back 20

restore anatomic integrity

reduce pain

improve function

Front 21

type of hip fractures

Back 21

intracapsular

extracapsular

Front 22

intracapsular fractures caused by

Back 22

osteoporosis and minor trauma

Front 23

extracapsular fractures caused by

Back 23

severe direct trauma or falls

Front 24

phantom limb pain described as by pt

Back 24

coolness, heaviness, cramping, shooting, burning, or crushing pain

Front 25

compartment syndrome

Back 25

elevated intracompartmental pressure within a confined myofascial comparment copromises the neurovascular function of tissues within that space

causes capillary perfusion to vbe reduced below a level necessary for tiessue viability

MEDICAL EMERGENCY!

Front 26

two types of compartment syndrome

Back 26

1) caused by bandage too tight, restricted splints

2) increased pressure r/t bleeding, edema, IV infiltatrion

Front 27

clinical manifestation of compartment syndrom

Back 27

pallor

pain

pulselessness

parathesia

pressure

paralysis

Front 28

urine output monitoring for ..... in compartment syndrome

Back 28

myoglobin released from damaged muscle cells

gel-like substance causing obstruction in renal tubbules due to high Molecular wt

can cuase acute tubular necrosis leading to ARF

Front 29

s/sx of myoglobinuria

Back 29

dark reddish brown urine

ARF s/sx

decreased urine output

Front 30

treatment for compartment syndrome

Back 30

remove bandage or loosen cast

assess for cuases

surgical fasciotomy

NO ICE

NO ELEVATION

Front 31

importance of exercise with OA, OP

Back 31

OA: increases strength of muscles which will help with improved ROM and fxn

OP: wt baring exercises help with bone strength and bone mass

Front 32

clinical manifestations of OA

Back 32

joint pain which can be relieved with rest (in early stages)

pain early in AM (usually relieved within 30 min)

pain with reduced atm pressure

joint stiffness following rest or prolonged sitting

crepidation

unilateral

bouchard's nodes (PIP)

herberden's nodes (DIP)

Front 33

OA

Back 33

deterioration of articular cartilage

cartiage distruction > production

cartilage bone erode causing ostephites develop causing narrowed joint space

Front 34

risk factors for OP

Back 34

smoking, drinking
female
increasing age
family hx, anorexia hx
white, asian = small frame
prolonged use of corticosteroids, thyroid replacement, heparin, long acting sedatives, anti-seizures
excessive caffine use
insufficient dietary Ca
sedentary lifestyle

Front 35

prevention of OP

Back 35

smoking cessation
increase dietary Ca intake (1000mg)
Vit D supplement
wt bearing exercises

Front 36

vit d supplement

Back 36

increase Ca abs

helps with bone formation

Front 37

treatment for mild to moderate OA

Back 37

Tylenol 1000mg q6h

capsaicin (zodtrix) topical

topical salicylates

Front 38

moderate to severe OA

Back 38

NSAID

misoprostol (cytotec)

Front 39

medical management of OA

Back 39

balance rest and activity

hot/cold

wt loss and exercise

Front 40

nursing diagnosis for OIRF

Back 40

acute pain
impaired phy mobility
risk for ineffective tissue perf
risk for disturbed sesory perception:tactile