Amputations

Question 1

what are priority interventions for amputations?

Answer 1

Still always ABCs!

1. apply direct pressure using gauze
2. elevate above the heart
3. wrap severed limb in sterile gauze, place in sealed bag, and submerge in ice water
4. treat pain
5. get IV access and give fluids

Question 2

what is deniscence?

Answer 2

deniscence occurs when sutures have split apart and the wound is open again

Question 3

what is a major post op complication other then infection?

Answer 3

flexion contracture

Question 4

what is flexion contracture and when does it occur?

Answer 4

A flexion contracture is a bent (flexed) joint that cannot be straightened actively or passively and occurs due to improper positioning

Question 5

how can the patient avoid flexion contracture?

Answer 5

lie prone for 20-30 minutes several times each day and do not lie on a pillow

Question 6

how can the nurse provide care for post of amputations?

Answer 6

monitor for perfusion at the stump for the first 24-48 hours and position dependently to allow more blood flow

Question 7

what type of pain can occur post surgery of an amputation?

Answer 7

phantom limb pain can occur where pain is in the limb that has been removed

Question 8

What medications can be given to treat phantom limb pain?

Answer 8

beta blockers and anti-epileptics such as gabapentin and pregabalin for the short, stabbing pain