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Med Surg 1 > Musculoskeletal System > Flashcards

Musculoskeletal System Flashcards

1
Q

what do we need to rule out a fracture

A

Xray

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2
Q

where is the neurovascualr assment done

A

distal to the injury

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3
Q

contusions

A

soft tissue injury

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4
Q

strain

A

muscle

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5
Q

sprain

A

ligament

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6
Q

why should we not pop a joint back in

A

blood and nerves and could lead to avascular necrosis

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7
Q

nursing management for mild sprain and strain
- RICE

A

rest
ice
compression
elecation

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8
Q

what is consisted in a neruovascular assessment

A

capillary refill
temp
color
sensation
pulses

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9
Q

why is a femur fracture dangerous

A

largest bone
severe blood loss
shock can occur

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10
Q

why might rib fractures be dangerous

A

punctured lungs

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11
Q

type of fracture impacts

A

healing

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12
Q

what fracture might take longest to heal
- simple of comminuted

A

comminuted

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13
Q

mainifesations of a fracture

A

pain
loss of function
deformity
shortening of the extremity
crepitus
local swelling and discoloration

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14
Q

is loss of color and swelling normal in a fracture

A

yes

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15
Q

what is abnormal in a fracture

A

neurovascular assessment
unrelenting pain

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16
Q

emergency management of a closed fracture

A

immobilize the body part
assess neuron vas before and after splitting

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17
Q

emergency management of a open fracture

A

cover with a sterile dressing to prevent contamination

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18
Q

should we attempt to reduce a fracture in the field

A

no

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19
Q

open fractures require treatment to prevent

A

infection

20
Q

what profilaxis will we do for open fractures

A

tetnus and antibiotics

21
Q

why might closure of a open fracture be delayed

A

permit edema
drainage
debridement

22
Q

risk for external fixator

A

infection
osteomyeltisis

23
Q

traction care

A

maintain correct balance between traction pull and counter traction force
care of weights
skin extremity inspection
- color, temp, sensation
pin care
assessment of neuro vas satus

24
Q

care of traction
TRACTION

A

tempreature
rose hang freely
alignment
circulation check
type and location of fracture
increase fluid intake
overhead trapeze
no weights on bed or floor

25
Q

cast complications

A

infection
circulation impairment
peripheral nerve damage
immobility

26
Q

should we put things down cast

A

no

27
Q

5 P’s of circulatory checks

A

pain
paresthesia
paralysis
pulse
pallor

28
Q

pain management for fracture

A

NSAIDS
muscle relaxants
analgesics
non pharm

29
Q

complications of fractures

A

shock
fat emobolism
compartment syndrome
avascular necrosis
DVT
delayed union
nonunion

30
Q

fat embolism caused by what fracture

A

long bone

31
Q

fat embolism what labs should we get

A

ABG
- profound hypoxemia

32
Q

delayed union

A

slowed bone coming together

33
Q

nonunion

A

bone isn’t coming together at all

34
Q

complex regional pain syndrome

A

unexplained ongoing pain

35
Q

DVT how to prevent

A

heparin
mobilize
SCD

36
Q

compartment syndrome definition

A

serious condition in which increased pressure within one or more compartments causes massive compromsise of circulation to the area

37
Q

s/s of compartment syndrome

A

numbness
tingling
pale
no pulse (late)
UNRELENTING PAIN
slow cap refill

38
Q

what might we do to treat compartment syndrome

A

removal of cast
fasciotomy

39
Q

within how many hours until the onset of compartment syndrome will neuromuscular damage be irreversible

A

4

40
Q

where should we maintain the extremity at during compartment syndrome

A

heart level

41
Q

hall mark of rhabdo

A

cola colored urine

42
Q

complications of total knee replacement

A

dislocations
DVT
infection

43
Q

proper body alignment with hip replacement

A

turn to unaffected side
pillow between legs to keep affected leg in abducted position to prevent removal of joint

44
Q

complications of amputations

A

hemorrhage
infection
phantom limb pain

45
Q

what is phantom limb pain

A

can still feel it even tho the limb is gone
not well managed with pain meds
- use opioids

Med Surg 1 (47 decks)

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