Orthopedics

Front 1

What is buck traction?

When is commonly used?

For what kind of fractures?

Nursing care?

Back 1

Is a skin traction (non-invasive, like a boot or straps)

Pre-op

Hip and Femoral fractions

Skin checks

Front 2

How to do pin care in skeletal tractions?

Crust?

Back 2

Sterile technique (avoid bone infection)

Remove crusts (bacteria loves crusts)

Serous drainage is ok

Front 3

position for hip fracture?

Back 3

we want abduction ( to keep hip in socket)

use abductor pillow

want extension (prevent flexion)

prevent rotation

Front 4

what kind of exercise client can do in the bed for Total Hip replacement post op?

Back 4

isometric exercises

Front 5

trochanter roll purpose?

Back 5

prevent external rotation

rotate a towel and put on the side of the great trochanter

Front 6

hip fracture care?

position/ hydration

Back 6

avoid bending legs, bending over, sleep on the side

increase hydration to prevent dvt and pneumonia (they are immoble)

Front 7

Total Hip replacement Complications?

Back 7

Dislocation

Infection

Avascular Necrosis

Immobility Problems

Front 8

Total Hip replacement

S/S dislocation?

What happens?

Back 8

circulatory and nerve damage

s/s: shortening of the leg, abnormal rotation, incapacity to move extremety, PAIN

Front 9

How to prevent infection on Total Hip replacement patients?

Back 9

Prophylactic Antibiotics

Removing indwelling catheters and drains asap

remember they have a foreign body in their body (hip) so we dont want to bring infections

Front 10

Total Hip replacement complication

Whatch for avascular necrosis! What is avascular necrosis?

Back 10

death of tissue due to poor circulation

Front 11

Total Hip replacement rehab: best exercise?

Back 11

walking

swimming

elderly rocking chair

Avoid flexion!!!!!!!!

Front 12

CPM (continuous passive motion) purpose?

Nursing interventions with machine?

Back 12

keeps motion of knees and prevent scar formation after Total Knee Replacement

neurovascular checks

PAIN RELIEF (otherwise client wont cooperate)

Store machine in the room but dont taketo floor to avoid infections

Front 13

What should be kept all times at the bedside of a patient that just went through amputation surgery?

Back 13

tourniquette

in case of massive hemorrhage

Front 14

amputation surgery post -op care

Back 14

avoid elevation

(elevation can develop hip contractures) if ordered elevate foot of bed (not with pilow) for short time, only to decrease swelling

Front 15

How to prevent contractures in a post-op client with a BKA (below the knee amputation)?

Back 15

Prone position to extend hip and knee joint

residual limb should be inspected daily to make sure it lays flat on the bed

Front 16

Phanton Pain nursing care:

Back 16

first try to reduce pain with diversional activities

then, if does not work, with analgesics

assess pain in a 0-10.

Phantom pain is real!! (usually subsides in three months)

Front 17

Amputation rehab:

Back 17

Limb shaping (to fit the prosthesis) with compression socks

Use limb socks under the prosthesis

Strenghtening upper body exercises (prepare for use of crutches)

Massaging the stump is ok - promotes circulation and decrease pain

Front 18

Amputation rehab: How to teach the client to toughen the stump?

Back 18

Press into a soft pilow

then firm pillow

then mattress

then hard chair

Front 19

how to walk with walkers?

Back 19

walk into the walker (no jump, gallop)

1) advance walker

2) good leg

3)bad leg

Front 20

how to use crutches?

Back 20

1-2 inches below axilla (prevent brachial nerve damage)

body weight should be in the hands, not axilla

( if going up good leg first

downstairs use bad leg first!!!)

Front 21

Which side to use canes?

Back 21

strong side