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15 Cards in this Set
- Front
- Back
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What are some signs of fat embolism R/T hip Fx 5 hours ago?
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Dyspnea, chest pain and petichiae. (Elevated H.R and adventitious bresth sounds are early signs)
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How much space is needed in between the axilla and the top of the crutch pad?
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1 1/2 to 2 inches
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You are teaching a pt. who is about to have a gallium scan about the procedure, what instructions would you include??
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Gallium is injected 2-3 hours prior to the procedure and takes about 30-60 minutes to perform. The pt. must lay perfectly still.
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A client who had a body cast applied two hours earlier now begins to c/o nausea. what should you do?
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Call the physician as this might be a sign of Cast Syndrome which is when there is compression on the mesenteric artery leading to intestinal obstruction.
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How is cast syndrome treated?
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Nasogastric decompression, IV fluids and possibly a new cast.
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Edema in the extremity of a cast indicates...
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Impaired venous return
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Coolness,pallor and diminished arterial pulse in an extremity of a cast indicates...
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Impaired arterial circulation
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Assess for in Buck's Extension Traction...
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Weak pedal pulses. (caused by pressure from the elastic bandages used to hold it in place, pins are not used.)
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Complete fracture across the shaft of the bone with splintering of the bone into fragments...
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Comminuted
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One side of the bone is fx. the other side is bent...
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Greenstick
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Open or complex fx. which extends through the skin,,,
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Open, complex or compound Fx.
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Fx. of a bone across it's entire shaft without breaking the skin...
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Simple Fx.
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Crutches are advanced with the affected leg, then the unaffected leg follows through.
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Three Point Gait
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Prevention of Compartment Syndrome...
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Ice and elevation
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What type of dressing would you use after a Fasciotomy for Compartment Syndrome?
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Moist sterile saline dressings. The fasciotomy would be left open for 3-5 days, then closed.
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