How long does a hip fracture patient have to be in hip precautions?
4 months
What type of healing is it when the wound is deep, is not well approximated, and needs to heal from the inside out?
second intention healing
Name 3 possible causes of delirium.
acid-base imbalances, urinary retention, fever, sleep deprivation, fecal impaction, etc.
What intervention can you do to prevent flexion contractures in an amputee?
put in a prone position for 30-40 min. at a time 3-4 times a day, turn frequently, do not leave up in a chair for long periods of time, ROM
What type of surgery would an appendectomy be?
curative surgery
What kind of fracture is it where the bone is broke part way and is bent on the other side?
greenstick
What class of antibiotics can cause a potential tendon rupture?
fluoroquinolones
What are the signs and symptoms of rheumatoid arthritis?
stiffness that lasts for longer than 30 min in AM, soft and boggy herbedens and bouchards nodes, fever and malaise, anemia with exacerbations, affects bilateral
Why are tetracyclines not appropriate to give to kids 8 and under?
can cause tooth discoloration
What score should someone have on the aldrete scale to get out of the ICU?
7-10
What are 3 possible cardiac complications someone could have in the PACU?
dysrhythmias, high blood pressure, low blood pressure, hypovolemic shock, hemorrhage
What are some clues that someone is having anesthesia awareness?
Changes in vital signs, movement
What are some interventions for compartment syndrome?
fasciotomy, bivalvement of cast
What are 6 possible side effects of opioids?
sedation, respiratory depression, n& V, urinary retention, orthostatic hypotension, constipation
Whose job is it to get informed consent?
the surgeon
What is the name of the scan they do to figure out if you have osteoporosis?
DEXA scan (Bone density scan)
What are some interventions for gout?
allopurinol. ibuprofen, foot cradle, steroids, stay away from purine rich foods, give fluids
Who is more at risk for fat embolism syndrome?
people with long bone fractures or pelvic fractures
Who is at risk for osteoporosis?
age, asian and caucasian women, people who are underweight, seizure meds, hormone deficiency etc.
What is the difference between skin traction and skeletal traction?
Skin traction is external, short term, and has less pounds of weight on it, skeletal is more long term, it goes through bone, and has more pounds of weight on