traction
traction
(orthopedics) the act of pulling on a bone or limb (as in a fracture) to relieve pressure or align parts in a special way during healing
amputation pain management
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pt amputates accidentally fingers, what should nurse do?
1. Apply direct pressure to artery above amputated parts to help decease bleeding immediately 2.tell pt hold hand above head. 3. call 911
BKA nursing intervention (recovery nurse)
1. Keep a lrg tourniquet at pts bed side
residual limb
1. after healing limb should only be bandaged when not wearing prosthetic. (figure 8) 2. Pt should not dangle residual lim over bedside to minimize edema 3. assess limb for: -skin irritation -erythema -excoriation -odor 3. wash every night; dry and lair dry 20mins 4.clean prostetic socket daily (soap & rinse)
if pt has BKA, & u find large amounts bright red bllod on pt residual limb dressing. What intervention do you implement?
1. assess pt's BP and pulse to assess for hypovolemic shock. decrease BP & ^ pulse
HIp fklexion contractions interventions
1. hv pt avoid sitting in chair for more 1 hr w/ hips flexed or hvn pillows under op leg 2. Prone postion 30mins (3-4)x dy; position hip in EXTENSION while prone
amputaion BKA
1. hv pt lie on stomach for 30mins to help prevent flexion contractures leading to problems w/ prosthesis
THR
Total Hip Replacement; older animals w/osteoarthritis; replaces the head of the femur where it joins the hip with a prosthesis; sterility** of utmost importance
Syme amputation
Amputation at top of foot, at ankle
A client has Buck's extension traction applied to the right leg. The nurse would plan which of the following interventions to prevent complications of the device? a. Give pin care once a shift. b. Massage the skin of the right leg with lotion every 8 hours. c. Inspect the skin on the right leg at least once every 8 hours. d. Release the weights on the right leg for daily range-of-motion exercises.
Answer: C Rationale: Buck's extension traction is a type of skin traction. The nurse inspects the skin of the limb in traction at least once every 8 hours for irritation or Inflammation. Massaging the skin with lotion is not indicated. The nurse never releases the weights of traction unless specifically ordered by the physician. There are no pins to care for with skin traction.
flexion contractures
Can occur in the hip or knee joint following amputation dt improper positioning Nx Actions - Prevention: ROM exercises and proper positioning - AVOID elevating the stump on a pillow after the first 24 hrs - Have the client lie prone several times a day - DO NOT sit for a long time
Care of patients with Buck's Traction:
Ensure skin integrity by avoiding pressure on heel, dorsum or foot, fibularhead, or malleolusMaintain counteraction by elevating foot of bed or keeping head of bed flatEncourage independence with use of trapeze
amputation
Partial or complete removal of a limb for a variety of reasons, including tumors, gangrene, intractable pain, crushing injury, or uncontrollable infection.
delayed prosthetic fitting
best for amputations above knee or below elbow -older adults -debilitated pt -infection
bucks traction
is a running skin traction that can be used temporarily to immobilize afracture of the hip/femur until it is possible to do surgery. It can also beused to relieve muscle spasms in the lower back, to preventcontracture after computation, or to realign the vertebrae in a clientwith scoliosis. •the leg is wrapped with an elastic roller bandage or tape. Traction isapplied through a weight attached to a spreader bar below the foot. Afoam boot may also be used. The traction pull is toward the pulley atthe bottom of the bed.
pt w/ BKA w/ type 2-diabetis
make sure assess pts nutriont status to ensure proper wound healing: -balance diet -protein -VIT -measl appropaye for diabetes
phantom pain
pain experienced in the area of a body part that has been surgically or traumatically removed s/s: -coldness -heaviness -cramping -shooting -burning crushing pain -anxious
phantom pain
pain felt in missing part, burning tingling cramping, intense after surgery resolves after time tx: meds desensitization -immediately medicate pts, w/ m
residual limb
stump; partial limb remaining after amputation