Term
| 5 P's assessment after amputation |
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Definition
- pain
- pulse
- pallor
- paralysis
- parathesia
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Term
| assessing for adequacy of peripheral circulation |
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Definition
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Term
| nursing actions to prevent complications |
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Definition
- assess and maintain airway, breathing and circulation
- monitor vital signs
- manage pain
- prevent resp complications and clots by early ambulation and incentive spirometer
- watch for s/s of hemorrhage
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Term
| preventing flexion contractures |
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Definition
- elevate stump for first 24 hours post op
- keep stump in extended position and turn patient to prone 3x/day
- lying prone
- avoid placing pillows between the legs or under patients back
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Term
| other misc nursing considerations after amputation |
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Definition
- move & turn patient slowly and gently to prevent muscle spasms
- reposition q 2hr and turn side to side & prone
- unwrap stump dressing every 4-6 hours for first 2 days post op
- assess color, temp and most proximal pulse before rewrapping
- avoid ltion
- wrap when its elevated to prevent edema & vascular stasis
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