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31 Cards in this Set
- Front
- Back
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fractures
first aid |
~maintain airway
~prev shock ~splint limb ~mon 4 fat embolism (12-72hrs after long bone fx) |
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fracture
types of tractions |
~skin: buck's, pelvic
~skeletal: thomas splint w/pearson attachment, crutchfield tongs |
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fracture
traction - NI - skin |
~positioning
~free-hanging wts ~maintain hanging freely ~mon 4 vascular occlusion ~wrap w/ace bandages; daily rewrapping |
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fracture
traction - NI - skeletal |
~pin care qShift
~1/2 HS + 1/2 hydroperoxide |
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fracture
traction - NI - muscles |
~strengthening
~ULE ~crutch walk |
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vascular occlusion
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~pain
~pallor ~pulselessness ~paresthesia ~paralysis |
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hip fracture
etio |
~fx neck of femur
~fx of trochanteric region of femur ~subtrochanteric fx ~prone: elderly |
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hip fracture
TX |
~skin traction
~trochanter roll ~ORIF |
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hip fracture
NI |
~PRE:immobilize
~anticoag ~assess skin breakdown ~POST:turn/pos ~crutch walking |
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amputation
NI |
~PRE:psych adjustment
~surg approach: closed, open ~Rehab: flexion deformities, stump care, stump shrinking, stump toughening |
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amputation
complications |
~hemorrhage
~infec ~phantom limb |
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gout
etio |
~inflam type of arthritis caused by deposit of urate cyrstal in & around joints
~hereditary error in purein metab which result in excess uric acid prod |
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gout
S/S |
~pain in great toe
~red joints, warm, swollen, painful ~lg accum of crystals in joints |
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gout
meds |
~indomethacine (Indocin)
~probenecid (Benemid) ~allopurinol (Zyloprim) |
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gout
NI |
~bed rest
~covers away 4m affected joints ~fluids ~no purin foods ~limit alcohol intake |
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systemic lupus erythematosus
etio |
~chronic infla dz that involves vasc & connective tissue of multiple organs
~autoimmune dz ~connective tissue dz ~remission |
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systemic lupus erythematosus
S/S |
~misleading onset categ by remission & exacerbation
~butterfly rash on both cheeks/bridge of nose ~rash worsens under sunlight ~polyarthalgia ~fever ~wt loss |
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systemic lupus erythematosus
meds |
~NSAIDs
~salicylates ~steroids |
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systemic lupus erythematosus
NI |
~no sun
~no stressful situations ~adeq rest ~exercise ~no IUD |
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rheumatoid arthritis
etio |
~chronic systemic disease
~unknown cause ~recurrent inflam involving synovium |
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rheumatoid arthritis
S/S |
~finger joints, cervical spine
~bilater involvement ~tenderness, swelling, warm, redness ~subQ nodules ~incr s/s in AM ~decr w/mod activity ~low temp, malaise, fatigue, stiffness |
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rheumatoid arthritis
TX |
~rest w/joints extended
~heat, warm baths ~paraffin baths ~daily exercise |
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rheumatoid arthritis
meds |
~ASA
~NSAIDs ~phenylbutazone (Butazoldain) ~gold salts (Myochrysine) ~steroids (PO or in2 joints) |
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rheumatoid arthritis
NI |
~position joints in extension
~maintain body alignment ~balance rest w/exercise ~nutritious diet |
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osteoarthritis
etio |
~degeneration of the cartilage in the joints caused by prolonged wear/tear of joint surfaces
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osteoarthritis
S/S |
~distal interphalangeal joints
~wt bearing joints (hip, knees, spine) ~pain and stiffness worst after inactivity/exercise |
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osteoarthritis
TX |
~rest
~avoid over-activity ~heat, hot packs, warm soaks ~paraffin baths ~ROM exercise |
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osteoarthritis
meds |
~ASA
~steroids in joints only ~phenylbutazone (Butazoladin) ~indomethacin (Indocin) |
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casts
purpose |
~maintain immobility while fx heals
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casts
NI |
~wet cast: air dry (no fan/blow dryer)
~elev cast w/pillows while drying ~check 4 vasc occlusion ~prev complications (immobility) |
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amputation
stump care |
~8 figure wrapping
~purpose: toughening/shrinking 4 prosthesis |
