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10 Cards in this Set
- Front
- Back
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Purpose |
A pulling force Realignment Immobilization Correct bone deformities (e.g. clubfoot, hip dysplasia) <muscle spasm |
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Types |
Skin: non invasive Skeletal: invasive = >risk for infection |
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Skin |
Traction wt: 4.5 to 8 pounds Stability: < Mobility: < Infection risk: < Neurovascular damage: < |
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Skeletal |
Traction wt: 15 to 25 pounds Stability: > Mobility: > Infection risk: > Neurovascular damage: > |
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Principles of Traction |
Counter traction: force acting on the opposite direction To prevent pt from sliding Pt's wt > traction wt
Applied continuously
Wts should hang freely and off the floor
Ropes: no obstruction
Maintain proper body alignment: massage to prevent pressure ulcer
Egg mattress: > circulation |
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Buck's extension traction |
Supine Skin traction Simplest form Legs are extended FOB 30° Pressure ulcer: sacral, heel For hip and femoral fracture |
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Rusell's traction |
Supine with orthopneic bed Skin traction Uses knee sling (-) turning to side, only sitting Pressure ulcer: popliteal, sacral For hip and femoral fracture |
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Gallow's or Bryant's traction |
Skin traction For children (<3 years old and wt <40 pounds) Legs are elevated at 90° Buttocks are elevated 1 in Pressure ulcer: scapula For hip and femoral fracture and to correct bone deformities |
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Cervical traction |
Skin or skeletal traction HOB >15 to 30° For neck fracture Discharge: stabilize head and neck (e.g. cervical collar, halo vest or traction)
Cervical halter (straps): Skin Pressure ulcer: chin, nape
Crutchfield tongs: Skeletal Pressure ulcer: occiput
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Balanced Suspension Traction |
Skeletal Both sides of the bed have traction Thomas splint: rod on the femur Pearson attachment (-)turning to sides Pressure ulcer: sacral For lower extremity fracture Pin care: Sterile technique (-) crust Report but don't adjust loose or tight screws |
