Mobility - Amputation Flashcards
(25 cards)
In amputation, we want to preserve the ______ while removing all infected, pathologic, or ischemic tissue.
In amputation, we want to preserve the GREATEST EXTREMITY LENGTH AND FUNCTION while removing all infected, pathologic, or ischemic tissue.
How are amputations recorded?
Amputations are recorded as ABOVE or BELOW the NEARTEST JOINT
_____ creates a weight bearing stump that prosthetic devices can be attached to.
CLOSED AMPUTATION creates a weight bearing stump that prosthetic devices can be attached to.
_____ are emergent or for infection; followed with secondary closure.
GUILLOTINE AMPUTATIONS are emergent or for infection; followed with secondary closure.
Immediate postoperative prosthesis - carefully observe the surgical site. If excessive bleeding occurs, notify the surgeon IMMEDIATELY. A ____ must always be available for emergency use.
Immediate postoperative prosthesis - carefully observe the surgical site. If excessive bleeding occurs, notify the surgeon IMMEDIATELY. A SURGICAL TOURNIQUET must always be available for emergency use.
______ are required for patients who have had amputations above the knee or below the elbow, older adults, and those with infection.
DELAYED PROSTHETIC FITTINGS are required for patients who have had amputations above the knee or below the elbow, older adults, and those with infection.
After amputation, elevate the stump for the first _____; but _____.
After amputation, elevate the stump for the first 24 - 48 HOURS; but NOT CONTINOUSY.
How do you avoid contractures (shortening/hardening of muscles and related areas) with amputations?
- Elevate limb, no more than 1 hour at a time
- IF leg amputation, lie in PRONE position TID with hip EXTENDED
- Avoid placing pillows between the patients legs OR under the back
Post Op care for amputation:
Push the residual limb into a __________, then into a __________, and finally against a __________ to prepare for prosthesis fitting and to reduce the incidence of phantom limb pain
Push the residual limb into a SOFT PILLOW, then into a FIRMER PILLOW, and finally against a HARD SURFACE to prepare for prosthesis fitting and to reduce the incidence of phantom limb pain
Post Op care for amputation
_________ the stump to wrap it - to prevent edema and vascular stasis.
ELEVATE the stump to wrap it - to prevent edema and vascular stasis.
Post op care for amputation:
Provide peri-wound skin care as ordered
Avoid __________
Avoid LOTIONS
Post op care for amputation:
unwrap the stump dressing every __________ for the first __________ postoperatively and then __________
unwrap the stump dressing every 4 - 6 HOURS for the first 2 DAYS postoperatively and then AT LEAST ONCE DAILY.
Do NOT __________ the residual limb
Do NOT DANGLE the residual limb
Post op care for amputation:
__________ improves healing, shrinks residual stump, decreases edema
COMPRESSION BANDAGE improves healing, shrinks residual stump, decreases edema
Compression bandage
wear except when bathing or doing PT
This bandage may be an elastic roll applied to the residual limb or a residual limb shrinker, which is an elastic stocking that fits tightly over the residual limb.
Residual limb care:
Inspect the residual limb __________ for signs of skin irritation, especially redness, abrasion, and odor.
Pay particular attention to areas prone to __________.
Inspect the residual limb DAILY for signs of skin irritation, especially redness, abrasion, and odor.
Pay particular attention to areas prone to PRESSURE.
Residual limb care:
Wash the residual limb thoroughly each night with warm water and __________ .
Rinse thoroughly and dry gently.
Expose the residual limb to air for __________.
Wash the residual limb thoroughly each night with warm water and BACTERIOSTATIC SOAP .
Rinse thoroughly and dry gently.
Expose the residual limb to air for 20 MINUTES.
Residual limb care:
Do not use lotions, alcohol, powders, or oil on residual limb unless __________
Do not use lotions, alcohol, powders, or oil on residual limb unless PRESCRIBED BY THE HCP.
Residual limb care:
Wear only a residual limb sock in good condition and supplied by the __________
Change residual limb sock __________.
Launder in mild soap, squeeze, lay flat to dry.
Wear only a residual limb sock in good condition and supplied by the PROSTHETIST.
Change residual limb sock DAILY.
Launder in mild soap, squeeze, lay flat to dry.
Residual limb care:
Perform __________ to all joints daily.
Perform general strengthening exercises (including for upper extremities) __________.
Perform RANGE OF MOTION (ROM) to all joints daily.
Perform general strengthening exercises (including for upper extremities) DAILY.
Residual limb care:
Do not __________ residual limb on a pillow.
Do not ELEVATE residual limb on a pillow.
Residual limb care:
Lay prone with hip in extension for:
Lay prone with hip in extension for 30 MINUTES 3 - 4 TIMES DAILY.
Prosthesis care:
Wear __________ over residual limb
Wear STOCKINGETTE over residual limb
Prosthesis care:
Clean daily with __________
Clean daily with MILD SOAP.
