OA/RA/Osteo
Typically presents with Swans neck deformity and Boutonniere deformity
Rheumatoid Arthritis
A fracture resulting in several shattered and splintered pieces
Comminuted
This type of immobilizer is used for short term purposes
Splint
Indications of infection
Fever, erythema, edema, purulent drainage
How high to lift walker off the ground when using it
WE ARE NOT LIFTING THE WALKER AT ALL
PLEASE
A supplement that should be advised to be taken with Calcium.
Vitamin D (Methods of how patients can get vitamin D?)
Common cause of spiral fractures
Physical abuse with twisting motions
Purpose of Buck's traction
Decrease muscle spasms and immobilize extremity before surgery (What kind of traction is it?)
Medical treatment for Compartment Syndrome
Fasciotomy
The leg that comes forward FIRST when walking with a cane or a walker
The affected or injured leg
Screening and diagnostic exam for Osteoporosis
DEXA Scan
Where to avoid placing pillows for a patient s/p (status post) R total knee replacement
Under the knees (What is this called?)
Freely hanging off the bed
Why PE (pulmonary embolism) is more common in hip fracture and long bone fractures
Increased fat globules in bone marrow
Proper measurements and placements for Tripod position when using crutches
Crutches are 6in in front and to the side of each foot
Treatment for OA
NSAIDs and Heat/Ice
Purpose of hip abduction pillow s/p (status post) R hip arthroplasty
To prevent leg adduction leading to possible dislocation
Nursing action to be done prior to performing pin care
Administer available analgesics
Assessment method and s/s of Compartment Syndrome
FIVE P's !
- Increased pain that is unrelieved with elevation or analgesics
- Increased edema
- Numbness/tingling
- Weakness or paralysis
Hand that is gripping the cane
The stronger hand aka hand on side of body that is uneffected
Elevated lab markers for Rheumatoid Arthritis
CRP (C reactive protein) and ESR (Erythrocyte Sedimentation Rate)
Elevated lab value with osteomyelitis
Elevated WBCs and maybe elevated ESR (Erythrocyte Sedimentation Rate)
What level to elevate cast at
Above heart level
Skin findings with PE (pulmonary embolism)
Pin-point sized petechiae or hemorrhages (late stage)
At what level is appropriate for a hand grip when using a cane
At the level of the trochanter of the femur