Sticks and Stones May Break My Bones (Fractures)
These types of bones are the most common site of fractures in pediatrics
What are long bones?
Solutions used in pin care and cleaning include normal saline and this
This condition is due to inflammation of bone due to infection
What is osteomyelitis?
The acronym DDH is short for this congenital condition seen in infants
What is developmental dysplasia of the hips?
This painful condition associated with swollen, tender joints, morning stiffness, and decreased ROM used to be called juvenile rheumatoid arthritis
What is juvenile idiopathic arthritis?
Complications of fractures include fat emboli, pulmonary emboli, and this condition where increased pressure within a muscle compartment, restricts blood flow and can damage nerves and muscles, and can lead to permanent nerve and muscle damage or even limb loss if not treated promptly
What is compartment syndrome?
For the patient in skeletal traction, a nursing priority is to inspect the pin sites for signs of this complication
What is infection?
This condition is due to infection within a joint
What is septic arthritis?
Treatment of DDH includes surgery with a spica cast and use of this device which is worn 24 hours/day and only removed for bathing
What is a Pavlik harness?
JIA is a result of this type of disorder where the body's immune system attacks itself
What is autoimmune disease?
This acronym refers to interventions for muscle sprain/strain care (not something you eat)
What is RICE? Rest, ice, compression, elevation.
Pin care must be done frequently, typically at least this often
What is once per shift?
This nasty bug is the typical culprit in osteomyelitis and septic arthritis
What is staphylococcus aureus?
DDH can be diagnosed via "clicking" of the hips, asymmetric gluteal folds, and these signs
What are positive Ortloni and Barlow's tests?
JIA causes inflammation of this fluid that surrounds and lubricates joints, leading to joint effusion and erosion
What is synovial fluid?
When in a cast, neuromuscular assessment, know by these 5 letters, is vital
What are the 5 Ps (pulses, pallor, pokilothermia, pain, parasthesia)
When conducting pin care, a new sterile Q-tip is used for each pin, using this motion
What is inward to outward?
The most common entry sites for staph leading to osteomyelitis and septic arthritis include puncture wounds, skin infections, and this painful injury
What are open fractures?
Care of the baby in a Pavlik harness includes maintaining harness placement for 12 weeks, frequent skin care and neurovascular assessment, and having the HCP check the straps on this schedule
What is every 1-2 weeks?
Though there is no cure, treatment of JIA includes minimizing joint damage, pain relief with NSAIDs, and use of this class of medications that help decrease inflammation; beware of infection risk!
What are steroids?
When using traction or casting, it is important to maintain this to prevent complications like infection
What is skin integrity?
Pins are used to help maintain proper alignment of fractured bone in what type of traction?
What is skeletal traction?
This location is the most common site for septic arthritis
What is the hip?
It is important to educate the parents to not do this to the Pavlik harness, as it is only to be done by the HCP
What is adjust the straps?
In addition to methotrexate which helps depress the autoimmune response, this newer class of medications helps slow joint degeneration
What are DMARDs (disease modifying anti-rheumatic drugs)?