RICE
This may be done for as long as up to 72 h s/p injury
What is REST?
Pain with activity is decreased with this
What is REST?
S/P a new amputation, it is a priority to assess this ABOVE the amputation site
What is CIRCULATION/Pulse?
With a new fracture, this assessment finding is most concerning
What is INCREASED EDEMA due to risk for impaired circulation? (Compartment Syndrome)
This traction is commonly used for femur & hip fractures to ALIGN the bones BEFORE surgery and treat muscle spasms and is a type of skin traction; uses weights and a pulley system
What is BUCK'S traction?
This is the lab we care about most r/t musculoskeletal disorders...
What is calcium?
This can effect older adults and can occur r/t cartilage degeneration
What is OSTEOARTHRITIS?
This may be applied for 15-20 min at a time, for 3-5 d, s/p injury and promotes vasoconstriction
What is ICE?
S/S may include these three things...
What is loss of height, back pain, and fear of falling?
Psychosocial needs assessment include...
What are COPING SKILLS and SUPPORT SYSTEM? emotional, social, cultural
Complications of impaired mobility include...
What are constipation, DVTs, and pressure ulcers?
This traction uses a flexible harness, boot, or belt to secure the extremity while 5 to 10 lbs of weights are applied to relieve muscle spasms & maintain the length of the bone and ALIGN the bones
What is SKIN TRACTION? (Buck's traction)
The progression of many muscular dystrophies are ______, but some may be_______...
What is SLOW (progression of MD is most often slow) but some forms may be AGGRESSIVE?
Muscle tissues _______, meaning wasting away, and occurs with aging
What is ATROPHY?
This requires monitoring for circulation, movement, and sensation
What is COMPRESSION?
First line of prevention are these 2 supplements
What is calcium and vitamin D?
This is the term for when the patient experiences pain related to a limb that has been amputated
What is PHANTOM LIMB PAIN?
A patient with a new cast would be a high priority for assessment if triaging due to risk of this...
What are circulation problems or compartment syndrome?
If pt is in skin traction and complaining of pain, the RN should assess these related to the traction system...
What is the RN should ensure that the traction weights are off the floor?
This is the gold standard for diagnosis for Muscular Dystrophy and looks at changes in muscle cells...
What is MUSCLE BIOPSY?
These are risk factors for osteoarthritis development:
What are steroid use > 3 months, > 50y, female, family hx, decreased body weight (thin frame), lack of regular weight bearing exercises
This requires the affected area to be raised higher than the level of the heart to help minimize dependent swelling
What is ELEVATE?
Gold standard for diagnosis
What is a bone mineral density test? (DEXA scan)
This medication may be used for nerve pain
What is Gabapentin?
With a MS injury, the RN should always assess the pulses located...
What is BELOW the level of the injury?
An ORIF (open reduction w/ internal fixation) is a procedure that uses plates, rods and screws to accomplish this...
What is ALIGN and STABILIZE FRACTURES?
The 6 Ps include...
What are PALLOR (color), PARESTHESIA (numbness/tingling), PULSELESSNESS, PAIN, PRESSURE, PARAYSIS?
If a pt with osteoporosis is DCing to home, a case manager or nurse may request this to make sure the pt is safe...
What is a home safety check?
This is a classic Creole recipe cooked with small pieces of pork, beef, or chicken and Cajun seasonings
What is DIRTY RICE?
Other potential diagnostics that may be utilized may include this procedure that utilizes soundwaves to visualize and this procedure that utilizes high & low energy passing through the body (usually hips & spine) to measure bone density
What is ULTRASOUND as good predictor for fractures and QCT used with research and diagnosis, but not screening
S/P a new amputation, if a pt is expressing concerns r/t future lifestyle, the nurses response should be...
What is therapeutic communication and ask the pt if he/she would like to talk about his/her concerns?
The RN should not assume to know what the issue is related to-
Numbness & Tingling (paresthesia), slow capillary refill, increased pain, extremity feels tight & puffy, pallor, pressure, pulselessness can be signs of this...
What is COMPARTMENT SYNDROME?
With a cervical injury, it is a priority to immobilize the spine with this...
What is a hard cervical collar?
Phalen's test and Tinel's sign are diagnostics related to this and can be found on pg 1321 of your FA Davis book (take a look and be familiar!)
What is CARPAL TUNNEL SYNDROME?
With aging, weakening of bones and muscles put older people at greater potential risk related to this...
What is SAFETY/Falls?
Muscle Mayhem Bonus: this enzyme is released into the blood when muscle fibers breakdown and an elevated level may be associated with a diagnosis of muscular dystrophy as an early sign of the disease...
What is CPK (creatinine phosphokinase)?
This mineral can impact Ca+ absorption and is found in processed foods and soda...
What is phosphorous?
To prevent contractures, the nurse knows the pt with anew amputation should be discouraged from these 2 actions...
What is prolonged sitting and do not place the new LE stump on a pillow to prevent knee or hip flexion?
This type of embolism is commonly associated with long bone fractures, like the femur, and can travel to the pulmonary artery, causing a pulmonary embolism...
What is a fat embolism?
pg 1311
When assessing pulses related to an injury or insult, the RN should...
What is assess the pulses DISTAL to the injury and compare bilateral pulses?
Rhabdomyolysis is...
What is muscle breakdown that releases myoglobin int o the blood stream (often related to crush injuries) that can obstruct renal tubules causing AKI and tea colored urine (due to lysis of RBCs) and hyperkalemia & all the s/s that go with it?
With osteoporosis, treatments that may be used once osteoporosis has developed include...
What are bisphosphonates and calcitonin which push Ca+ from the blood stream back into bones?