Amps & Burns Flashcards Preview

Phys Dis > Amps & Burns > Flashcards

Flashcards in Amps & Burns Deck (38):
1

Forequater Amp

Loss of clavicle, scap and entire UE

2

Shoulder Disarticulation

Loss of entire UE

3

Elbow Disarticulation

Amp of UE distal to elbow joint

4

Wrist Disarticulation

Amp distal to wrist joint - loss og hand

5

Hemipelvectomy

Amp of 1/2 pelvis and entire LE

6

Transfemoral

Above-knee - at any level on thigh

7

Transtibial

Amp below knee at any level on calf - most common

8

Complete Tarsal

Ankle amp

9

Partial Tarsal

Amp of metatarsals/phalanges

10

Terminal Devices

Function to grasp; 2 main types are hook/hand. VO- Vol open means hook remains closed vs VC- Vol close means hook remains open

11

Neuromas

Complications w amps; nerve endings adhered to scar tissue - can be painful/hypersensitive

12

Pre-prosthetic Tx

Change of dominance acts if needed, ROM of uninvolved joints, prosthesis prep, desensitization, wrapping dist to prox to shape/shrink residual limb, ADL/skin care edu, counseling > phys/psych adjustment

13

Prosthetic Tx

Fx'al training with prosthesis, donning/doffing, increase wearing AT, phys/psych adjustment

14

Tx for LE Amp

Wrapping to shape/decrease swell of residual limb, desensitization, strengthening UE w triceps focus, transfer training>stand pivot, ADL training/LE dress, standing tolerance & w/c mobility

15

Superficial (1st degree) burn

Involves only epi; min pain/edema w no blisters, healing= 3-7days

16

Superficial Partial Thickness (2nd degree) Burn

Involves epi and upper portion of dermis (sunburn); appears red, blistering and wet; painful but heals on own in 7-21days

17

Deep Partial Thickness (2nd degree) Burn

Involves epi and deep portion of dermis (hair follicles/sweat glands); appears red, white & elastic, sensation may be impaired; potential to become full thickness w infection; healing time 21-35days

18

Full Thickness (3rd degree) Burn

Involves epi, dermis, hair follicles, sweat glands & nerve endings; appears white, waxy, leatherly & non-elastic; sensation absent/req skin graft; hypertrophic scar; healing can take months

19

4th Degree Burn

Involves fat, muscle & bone; Electrical burn- destruction of nerve along pathway

20

Method for assessing burn wound size

Rule of 9's

21

Superficial Partial Thickness (2nd degree) Burn Tx

Assess ROM 72hrs post-op & sensation/strength when wounds are healed. Wound care/sterile whirlpool, gentle AROM/PROM AT, edema control, splint if necessary, ADL/role acts

22

Deep Partial Thickness (2nd degree) Burn Tx

Assess ROM 72hrs post-op & sensation/strength when wounds are healed. Wound care/sterile whirlpool, gentle AROM/PROM AT, edema control, splint if necessary, ADL/role acts &strengthening when wounds are healed

23

Full Thickness (3rd degree) Burn

Assess ROM 5-7days post-op & sensation/strength when wounds are healed. 72hr= dress change/splint at all times; 5-7days= AROM, light ADL/occ & sterile whirlpool; Over 7days= PROM AT, ADL/occ; when wounds heal= massage, compression garments, otoform/elsatomer inserts & strengthening

24

Ant neck burn anti-contracture positioning of neck flex

Remove pillows, half-mattress to extend neck, neck exten in splint or collar

25

Axilla burn anti-contracture positioning of adduction

120 degrees aBduction w slight ex rot, axilla splint/positioning wedges, watch for signs of brachial plex strain

26

Ant elbow burn anti-contracture positioning of flex

Elbow ex splint 5-10 degrees of flex

27

Dorsal wrist burn anti-contracture positioning of wrist extension

Wrist support in neutral

28

Volar wrist burn anti-contracture positioning of wrist flex

Wrist cock-up splint w 5-10 degrees of flex

29

Dorsal hand burn anti-contracture positioning of claw hand deformity

Fx'al hand splint w MCP joints 70-90; IPs fully extended - 1st web open/thumb opposition

30

Volar hand burn anti-contracture positioning of palmar contracture

Palm extension splint

31

Volar hand burn anti-contracture positioning of cupping of hand

Myofascial pain syndrom in slight hyper extension

32

Ant hip burn anti-contracture positioning of hip flex

Prone positioning; weights on thighs in supine; knee immoblizers

33

Knee burn anti-contracture positioning of knee flex

Knee exten positioning and/or splints; prevent ex rot

34

Foot burn anti-contracture positioning of foot drop

Ankle at 90 w foot board/splint - watch for heel ulcer

35

Splint for burn to the hands

Wrist in 20-30 exten, MCP in 70 flex, IP in full exten & thumb abducted/extended

36

Palmar exten splint

Used if burns to volar surface of hand develop flex contractures: Wrist in 0-30 exten, MCP in neutral to slight ex and abducted, IP in full exten, thumb abducted/extended

37

Web-space burn

C-splint

38

Hypertrophic Scar

Deposits of excessive amounts of collagen which gives rise to a raised scar - most common w 2/3 degree; Appears 6-8wks after wound closure > comp garment 24hrs for 1-2yrs