Term
| An attempt to attach the fragments of the broken bone together when reduction alone is not feasible because of the type and extent of the break? |
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Definition
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Term
| Hardware is used to align bone fragments and keep them in place, no hardware is seen on the outside of the body? |
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Definition
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Term
| This allows for adjustments to be made without reopening the wound? |
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Definition
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Term
| External fixation patients are at greater risk for? |
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Definition
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Term
| This type of cast covers the trunk of the body? |
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Definition
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Term
| This type of cast covers the lower extremities or both legs? |
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Definition
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Term
| This goes underneath a cast allowing joints to slightly move? |
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Definition
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Term
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Definition
- elevate to prevent edema
- maintain a clean and dry cast
- monitor discharge (should not have any)
- assist in positioning, use pillows
- check for odor or hot spots
- provide skin care |
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Term
| Exerts a pulling force on a fractured extremity to align bone fragments? |
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Definition
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Term
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Definition
| A skin traction that is normal done for hip or leg fractures. Boot is placed on foot and weights hang down off the bed. This forces the bone apart. |
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Term
| This traction is attached directly to the bone with a metal pin or wire? |
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Definition
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Term
| Complications of tractions? |
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Definition
- impaired circulation
- inadequate alignment: weight touch the floor causes this
- skin breakdown
- soft tissue injury
- pin track infection and osteomyelitis occurs with skeletal traction |
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Term
| Interventions with tractions? |
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Definition
- weight should hang freely
- if used to reduce a fracture, NEVER release the weight
- maintain body alignment
- neurovascular extremity assessment
- high diet in calcium and protein |
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Term
| What is check in a neurovascular assessment? |
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Definition
- color
- temp
- pain
- cap refill
- pulses
- sensations
* all down below level of injury |
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Term
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Definition
- axilla should not be touching the crutches
- crutches first then injured leg
Stairs good leads up bad leads down. |
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Term
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Definition
| walker goes first then one foot at at time |
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Term
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Definition
- cane goes on good side
- cane and effected leg step first and at the same time |
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Term
| This type of fracture is the most common among elderly? |
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Definition
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Term
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Definition
- external rotation: leg rotates out
- shortened limb on affected side
- severe pain
- soft tissue trauma |
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Term
| Treatment for a hip fracture? |
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Definition
- traction or surgical repair
- ORIF: open reduction internal fixation
- Arthroplasty: hip replacement
- physical therapy |
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Term
| Interventions for a hip fracture? |
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Definition
- TEDS
- Post op VS
- turn q2h
- hip flexion no more then 90 degrees
- anticoagulants
- do not adduct the hips
- use abduction pillow |
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Term
| A break in the distal radius (wrist area)? |
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Definition
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Term
| Treatment for a colles' fracture? |
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Definition
- closed reduction of the bone and immobilization in either a splint or cast
- elbow is immobilized as well to prevent misalignment (sling) |
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Term
| Treatment for a pelvic fracture? |
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Definition
- bed rest on a firm mattress or bed board for a few days to 6 weeks
- pelvis sling |
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Term
| Interventions for a pelvic fracture? |
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Definition
- check for blood in urine and stool or rigid or swollen abdomen: could indicate puncture of an organ
- turn pt only if it is ordered : log roll |
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Term
| Removal of a body limb or part of a limb? |
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Definition
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Term
| Diagnostic test and procedures done to check if amputation is necessary? |
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Definition
- angiography: check blood flow
- arteriography: dye is injected to check arterial blood flow
- doppler ultrasound: check pulse
- biopsy |
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Term
| After limp has been amputated a flap of muscle and skin is placed over the end of bone? |
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Definition
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Term
| After amputation the end of limp is only covered with a sterile dressing? |
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Definition
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Term
| Which amputation allows for better healing and a cushion for a prosthesis? |
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Definition
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Term
| Complications of an amputation? |
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Definition
- hemorrhage
- wound dehiscence
- gangrene
- edema
- contractures
- phantom limb pain/sensation
- infection |
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Term
| An artificial substitution for a missing body part? |
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Definition
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Term
| Pre-Op nursing care for an amputation? |
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Definition
- height, weight, and vital signs
- neurovascular assessment
- psychological assessment
- time out: make sure your amputating the right limb |
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Term
| Post-Op nursing care for an amputation? |
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Definition
- VS
- inspect dressing: should not have a lot of bleeding
- temp
- edema after dressing is moved
- documentation of pt's pain |
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Term
| A limb is re-sutured into its correct anatomic position? |
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Definition
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Term
| Emergency care for a cut of limb? |
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Definition
- wrap parts in clean cloth with normal saline
- seal in plastic back and place in ice water |
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Term
| Post-op for a replantation? |
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Definition
- hourly neurovascular checks
- check pulses
- elevate limb
- no nicotine and caffeine for 7-10 days after surgery
- warm room
- loosen restrictive clothing |
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Term
| Head of the femur is either partly or completely displaced due to a shallow hip socket? |
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Definition
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Term
| S/S of congenital hip dysplasia? |
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Definition
- limited abduction of the affected side
- asymmetrical skin folds
- shortened femur |
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Term
| How to diagnosis congenital hip dysplasia? |
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Definition
Barlow's Test: abduct the leg and the hip bone pops out
Ortolani's Test: after a Barlos's test you can feel the hip bone move back into place
- x-ray |
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Term
| Treatment for congenital hip dysplasia? |
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Definition
- hips kept in flexion and abduction
- bryant's traction
- spica cast |
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Term
| Congenital anomaly where the foot is twisted inward or outward? |
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Definition
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Term
| Risk factors for clubfoot? |
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Definition
- mother who smoked during pregnancy
- family history of clubfoot |
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Term
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Definition
- splinting
- casting
- stretching exercises
- surgery |
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Term
| "S" shaped curvature of the spine that is more common in girls? |
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Definition
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Term
| Risk factors for scoliosis? |
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Definition
- muscular dystrophy
- cerebral palsey |
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Term
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Definition
- less then 20 degrees: requires monitoring
- 20-40 degrees: milwaukee brace
- > 40 degrees: surgical placement of rods |
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