Musculoskeletal

Question 1

open vs closed reduction

Answer 1

Set it with or with out surgery

Question 2

6 steps of fracture healing

Answer 2

Hematoma, granulation, callus formation, Ossification, consolidation, remodeling.

Question 3

Time hematoma fracture

Answer 3

w/i 72 hours.

Question 4

Time granulation

Answer 4

3-14 days

Question 5

callus formation time what is it and one thing about it?

Answer 5

end of two weeks, unorganized network of bone you can see on xray

Question 6

consolidation time and xray?

Answer 6

1 yr radiological union

Question 7

remodeling time

Answer 7

Up to one year

Question 8

Ossification time and what does it look like ion xray?

Answer 8

3 weeks to 6 month you can still see the fracture

Question 9

What stage do you remove cast?

Answer 9

when ossification occurs

Question 10

traction benefits and what to watch for?

Answer 10

Prevent mm spasms and pressure ulcers

Question 11

what to remember about Coumadin and warfarin

Answer 11

take a few days to work

Question 12

compartment syndrome when does ischemia happen

Answer 12

can within 4-8 hours

Question 13

Compartment syndrome can take place ?

Answer 13

Onset or delayed

Question 14

6 ps of compartment syndrome

Answer 14

pain, pressure, paresthesia, pallor, paralysis, pulselessness

Question 15

fat embo syn one s/s and time

Answer 15

Petechial rash usually 24-48 hours

Question 16

Rhabdomyolysis

Answer 16

Damaged mm cells releases myoglobin in blood stream

Question 17

What to look for in rhabdomyolysis and tx

Answer 17

Dark reddish/brown urine fluids.

Question 18

Risks for osteoporosis 8 you don’t know

Answer 18

estrogen, excessive alcohol, corticosteroids, low testosterone, heparin, thyroid replacement, anti seizure meds, long acting sedatives.

Question 19

osteoarthritis 3 things

Answer 19

noninflam disease, gradual loss of cart, formation of spur or outgrowths.

Question 20

Remember 1 about OA

Answer 20

Age is a risk factor but not normal

Question 21

What happens with pain and stiffness with OA

Answer 21

Pain with activity stiffness with inactivity

Question 22

3 s/s of OA

Answer 22

Crepitation, asymmetrical, localized

Question 23

nursing with OA 5 do 1 don’t

Answer 23

Balance rest and activity, heat/cold/ alternative therapy, weight loss, ROM, dont put on narcotics.