Musculoskeletal

Question 1

Arthroplasty

Answer 1

• replace joint with a prosthetic system
• hip, ankle, shoulder, toe, and wrist
• hip arthroplasty: keep abductor pillow in place while in bed, do not flex hip more than 90 degrees,
• Knee arthroplasty: maintain continuous passive motion machine to promote joint mobility
• ambulate THE DAY OF surgery
• use toilet seat extender
• reduce risk of DVT: ankle dorsiflexion, circles with feet, push feet into bed, straight les raises
• meds: anticoagulants, NSAIDs, opioids, antibiotics

Question 2

External Fixation Devices

Answer 2

• skeletal traction: inspect pin sites every 8 hours
• maintain proper alignment
• verify weights are free-hanging
• promote strengthening exercises for areas that are uninjured
• use straw to avoid neck flexion