: 45 46 * Have a pt Fell and broke their arm Cast been on for . Scaly , and . a month ugly Answer :To educat them and letthem know to *Broke other am (Nau two ams broken) , * clavide fracture-bone went inwand and Take a back very important am , doctor checks and no use war soap , can move fingers Check mobility . . , , - Use from in , .. Hav tond out what she's going ha a aseptic technique ; long cotten swabs and starte water/Ns to clean around pins (clean inside to out draining comes good cap. refill. Marment time . Use different swab . every wipe If HCP will order a culture * Pt sensation , color , . *Pins (external fixation) - , hung . apfishavingsomethingmor done (falls and breaks hip put pins plak etc of Taking the cast off and it is . brace/cast and if reduces the fracture (Figure svest) * When * plan ahead has taken place union Skiing , (worried about infection) ! Osteomelytis has compound fracture what are , expecting? reduction Open * Lacerated from her shin to thigh : cut window in cast ,to see wound and clean/dress it. * know why you would put cast and why you would out *They have osteoarthritis Total Knee *Broken Jaw , wire , doing what type of surgery ? curters on side of bed ,dueto if deep breathor crackles-CauHp!!! a On the window knee. replacement (TKS) * Someone falls and fracture their ribs * After a , they start vomiting listen to it Can puncture a . bone fracture , most oftenthe femur What . * Gonna see tachypnea , BIP elevated etc .... . prevent aspiration lung and develope pneumonia Splint stomach to cough and . , do about complication we way ? emergency resp marrow (yellow) travel to lungs and cause respdistress leadingtofailure .) Fat embolism synd (Small fat droplets from bone . can Petechiae !!! = *What time frame do way about with the most for afat emboli ? we 72hrs after injury . * closed/open fracture Reduction closed (re-align bone manually) ; Open (surgery) = *Bone non-union -Use bone stimulator Stimulat osteoblasts . , *What to we strive for the mostafter any type of Skeletal type surgery ? Heal wi out getting infection . * Have someone that's in traction (skin and Skeletal) , Weights should hang freely /Not * After musculoskeletal Emboli surgery . on . Hook What do we wary about? (stroke , PE M1 Pneumonia , pressure wond) anticags *Use SCDs , , . , * What is our goal for pf a . That is being discharged after Total Knee repl What position do a . 9go *After a hip replacement, what do we not want ? Adduction *Total Knee replacement-wary about "hyperflexion" ; Hip-way about "dislocation * Start teaching before surgery * If someones . . Or hip) find if they going in for (knee replace a * Someone had an amputation feel pain , * What position will Prone we -> are on Phantom limb pain . position a pt with amputer prothesis ? , blood thinner . " . we want them in ? * Gout-build up of Uric acid . What do we usually see it in ? Great foe Ineed Fluids and *Patient on dialysis , what food should Purne rich food (sardines , cherries/henry Juice they avoid ? oily fish,organ meats Shellfish) , * What is a "fell-tell"sign of having"Ostrmelytis"in a jointthat has been replaced ? Drainage (red swollen ulcerations , , * Rhuematoid arthritis > Usually lab a - - ESR , Sed rate - we see ? will be increased . if cultured ? ↓ What is the most common finding , we Staph arcus , its pale pulse is absent/weal and in pain . might be going on ? compartment syn.; Wanna bivalve it. Efasiotomy would be next to relieve pressure * Injury to leg and swollen to the point, now they have decreased sensation What do we think - * What's it called if you have Phalen test a positive what and it's carpal tunnel ? (numbness to wrist , , with flexion) * Ball hits a kid in the kg what's the 9thing your do gonna ? , Applyice * Leg went in wrong direction when sliding to base Splint it as * Get hit from behind Neck it lies , what . What will we do? . injury will they probably have? , , *P R . . 1 C E . - . protect rest , , ice , elevate * Dislocated shoulder >subluxation - * know what to look for wit - broken hip. shortened limb , pale , hypordemia , cooler , weak pulse groin pain . , *If bone is potruding out of skin what fracture is it? , - Compound open , * Pathologic fracture-bonebreaks , causing a (disease fall *Bone that's not healing-electrical pump stimulation (non-union) * Sendingpt. home on NSAIDs , take with food *Stress fracture > Doesn't - go all the . Educate patient . way through *Bigbone Fracture worried about hypovolemic shock , *Someone comes in Think * or ER , Couple weeksto show up . Bleeding doing uls and their Blp is fluctuating (130-109) big drop ! look for Wantleg"Adducted" . . - bleeding taken calculations !! Drug = away