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Remar Review > Orthopedics > Flashcards

Flashcards in Orthopedics Deck (8)
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1
Q

Canes-
The cane moves with the ____leg but is on the _____ side.
Then the _____ leg follows.
COAL=

A

Canes-
The cane moves with the _bad leg but is on the strong side.
Then the __good leg follows.

Coal= cane opposite affected leg

2
Q

Casts-
Use_____________ to handle during 1st 24 hrs. Do not ________ _________.
What about scratching underneath cast?
Always remember to do_________ _________.

A

Casts-
Use______palms of hands to handle during 1st 24 hrs. Do not ______wet. What about scratching underneath cast? No but can use a blow dryer on cool setting
Always remember to do_ Neurovascular checks( circulation)

3
Q

Crutches-

Top of crutches should be ________ below armpits.Do not let the _________ press into __________.

A

Crutches-

Top of crutches should be _2 finger length or 2 inches below armpits.Do not let the _crutch press into __the armpit .

4
Q

Gaits (Weight bearing on uninjured leg)

2-point- Move left crutch with right foot then right crutch with left foot.
3-point- Move crutches and weaker leg, then strong leg.
4-point- Move left crutch, then right foot, then move rightcrutch and follow with left foot.

A

Gaits (Weight bearing on uninjured leg)

2-point- Move left crutch with right foot then right crutch with left foot.
3-point- Move crutches and weaker leg, then strong leg.
4-point- Move left crutch, then right foot, then move rightcrutch and follow with left foot.

If it’s a odd leg problem use the odd number gait

For 2&;4 both legs has to be able to bear weight at all times

5
Q

(Non weigh bearing) amputations, fractures

Swing through-

A

Swing through- Move both crutches forward then bear all weight on crutches and swing legs forward at the same time.

Almost impossible to do!
No legs at all but swinging thru the crutches ! Probably not on NCLEX

6
Q

Stair walking with Crutches or cane
Stairs- Up 1st w/_______ leg, then ________ w/crutches

Down 1st ________leg w/crutches, then _________.

A

Stair walking with Crutches or cane
Stairs- Up 1st w/__good leg, then __bad legs w/crutches

Down 1st _bad leg w/crutches, then __good leg follows__.

Again, up with the good and down with the bad!!!

7
Q

Walkers-
Never try to use __________ or ______________.
Elbows flexed at ______ to _____degrees. Same measurements as cane.
Step first with ______ leg then follow with ________
leg.
Do not ______ _ ________________when walking.

A

Walkers-
Never try to use ___stairs or _ escalators.
Elbows flexed at __20 to _30 degrees. Same measurements as cane.
Step first with ____bad leg then follow with good
leg.
Do not _pick the walker up when walking.

8
Q

Promoting Circulation
Thromboembolic Compression (TED)
Sequential Compression device

  1. )Thromboembolic Compression (TED) holes -you put them on your_____
  2. )Sequential Compression device-_____

What do you need know abt Sequential Compression device?

What do you need to monitor with Sequential Compression device?

U need an order for both of these and found out the size by measuring the calf

Clients are NOT ALLOWED TO:

  1. 3.
A
  1. )Thromboembolic Compression (TED) holes -you put them on your patient before they get out of bed
  2. )Sequential Compression device-Machines that are promoting circulation by putting force gradually on and off the patients leg.

Know the right size these are attached to a pump
so monitor your patient skin integrity make sure the pump is not applying too much forced to your patient ( by checking Leg indentations )

U need an order for both of these and found out the size by measuring the calf

Clients are NOT ALLOWED TO:

  1. Cross their legs
  2. Sit for long periods of time
  3. Put pillow behind the knees

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