Exam 4- Safety and Security/Hazards of Immobility Flashcards Preview

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Flashcards in Exam 4- Safety and Security/Hazards of Immobility Deck (16):
1

Hazards of Immobility: Contractors

Shortening of muscle r/t post cva, part of brain died to provide muscle stimulus for extremities to work. Ligaments and muscle shortens= curl up fetal pos.= death
AVOID BY ROM, ACTIVITY, SPLINTS

2

Hazards of Immobility: Ankylosis

Bone is set. Only way to reverse is surgically to cut bone.

3

Hazards of Immobility in regards to Respiratory changes

Atelectasis
Hypostatic Pneumonia

4

Hazards of Immobility in regards to changes in metabolism

Decreased response to energy requirements
Negative nitrogen balance

5

Hazards of Immobility in regards to fluid and electrolyte imbalances

Shifts in blood flow to kidneys cause DIURESIS, which causes losses in sodium, potassium and calcium

6

Hazards of Immobility in regards to GI changes

decreased peristalsis=CONSTIPATION

7

Hazards of Immobility in regards to CVS changes

Orthostatic hypotension, circulatory volume, Increased HR, risk for DVT

8

Hazards of Immobility in regards to Musculoskeletal changes

Loss of strength, endurance, and muscle mass
Joint contractures
Disuse= Osteoporosis

9

Hazards of Immobility in regards to Integumentary changes

pressure on skin
weight on bony prominences
ischemia= skin breakdown

10

Hazards of Immobility in regards to Urinary elimination changes

urinary stasis due to position changes
renal calculi from calcium lodge in renal pelvis= KIDNEY STONES

11

What may orthostatic hypotension cause?

SYNOCPY\faint episode

12

Stage I pressure ulcer

reddened area, nonblanchable- push with thumb, blood stays red on skin not white

13

Stage II pressure ulcer

area of skin is no longer intact no matter what size skin fell off

14

Stage III pressure ulcer

going into SubQ area, deepening of wound

15

Stage IV pressure ulcer

down into muscle, bone and fascia

16

Benzodiazepines versus Antidepressants

Benzoz treat anxiety disorders faster within a few days and Antiz are more effective after 4-6 weeks