Hip Fractures Flashcards Preview

NUR 200: Exam 2 > Hip Fractures > Flashcards

Flashcards in Hip Fractures Deck (12)
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1
Q

Manifestations of a Hip Fractures

A

Externally Rotated and shortened in length

2
Q

Kinds of Fractures

A

Intracapsular: head and neck of femur
Extracapsular: trochanteric part of femur

3
Q

Kinds of Surgery

A

ORIF
Hemiarthroplasty
Total Arthroplasty

4
Q

Nursing Care of ORIF

A

Use of crutches

Partial Weight Bearing

5
Q

Nursing Care of Hemiarthroplasty

A

Replace head of femur
Full Weight Bearing
Return to function much faster

6
Q

Nursing Care of Total Arthroplasty

A

Completely new hips and bones
metal bones, joint and socket
JP Drain, HemoVac, closed wound
Only for people with severe OA

7
Q

Cemented Joint v. Non Cemented Joint

A

Cemented: resume activity faster, does not last as long

Non Cemented: longer recovery, lasts longer

8
Q

Post Op Care

A
Abduction pillow
Ambulation in 12 hrs
Keep hips aligned
PWB
Monitor for complications
Do not cross legs
Monitor lab values
9
Q

Pre Op Care

A
Stop Anti-Coags for one week
All Dental Work beforehand
Epoetin Alpha
Iron Supplements
Autologus Transfusion
Shower with antibacterial soap
Dont Shave
Med Clearance 
Appropriate Anesthesia
10
Q

Longitudinal v. Posterolateral Incision

A

-Longitudinal: 8-10cm, more muscle loss, longer recovery, decrease risk of dislocation
Posterolateral : 20-24 cm, less muscle involved, increase risk dislocation

11
Q

Patient Teaching

A

Family involved in PT
Use Assistive Device
Proper body mechanics
Fall Prevention

12
Q

Factors that improve Recovery

A

Age, Balance, Cognitive, Gender, Fatigue, Pain and Complications