Diagnostics
you must remove ____ from a patient's body before an x-ray or they will interfere with the imaging.
what is a radiopaque object?
what are the common signs and symptoms that your patient might have a hip fx.
limb looks slightly shorter
external rotation
adduction of the extremity
with this type of cast you cannot expose it to heat while it is drying.
significant amount of blood loss due to the increase amount of vascularity to bone tissue. occurs mostly with hip fx. and surgeries on the bones.
hemorrhage
measures the amount of glycoprotein released by the liver in an inflammatory process
C-reactive protein
this diagnostic and treatment measure visualizes the inside of a joint capsule via scope.
what is an arthroscopy?
what is the biggest concern if your pt has a pelvic fracture?
internal organ injury
what are some patient teaching opportunities when the patient is going home with a cast?
cleanse skin around the cast
monitor for s/s of infection
ROM
isometric exercises
bones will either build up more minerals to accommodate more pressure or osteoclasts will break them down when lying for long periods of time/ astronauts... this is known as _____
wolff's law
indicates gout
uric acid
the injection of contrast media or air into a joint cavity to visualize its structures.
what is an arthrogram?
what is our main priority if the patient has their jaw wired shut due to a facial fracture?
wire cutters at the bedside
Buck's
when a bone grows at the correct amount of time but in an incorrect position.
Mal-union
the most reliable rheumatoid arthritis indicator
Anti-cyclic citrullinated peptide (Anti-CCP)
what is raise the HOB to 30-50 degrees.
what is our main priority when a patient has multiple rib fractures?
take deep breaths.
with skeletal traction, as the nurse you are responsible for doing this every 8 hours/ once per shift... (infection control)
pin care- sterile
when fat globules enter the blood stream, this is referred to as Fat Embolism Syndrome and the signs/ symptoms are_____
PE s/s:
tachypnea
tachycardia
Petechial rash
pulmonary infiltrates
heart ischemia
increased in muscle trauma as cell destruction releases this into serum.
potassium
what is the difference between a DXA scan and a bone scan?
a DXA scan measures bone density. a bone scan uses a tracer to identify areas of potential inflammation or dead bone.
in fracture healing, at what point in time does the granulation tissue begin the rebuild process?
3-14 days post injury
these are used when the edema around the fracture is too great to operate, a temporary fix.
external fixator
this disorder occurs when edema or damage constricts the blood vessels so much that the distal extremity loses blood flow and can end up dying.
Acute Compartment Syndrome
measures how quickly RBCs settle out of unclothed blood.
Erythrocyte Sedimentation Rate (ESR or Sed Rate)