Test 4 Musculoskeletal Shi Flashcards

Question

What's subluxation?

Answer 1

Partial or incomplete dislocation Doesn't cause much disformity as a complete one

Answer 2

PRICE Protect Rest Ice Compress Elevate

Answer 3

Closed Open Intraarticular: Extends into the joint surface of a bone

Answer 4

1: 1 cm long clean wound 2: Larger wound without extensive damage 3: Highly contaminated extensive soft tissue injury that may need to be amputated

Answer 5

Immobilize body part SPlintint: Joints distal and proximal to the suspected fracture must be supported and immobilized Asses neurovascular status before and after splinting Open fracture: Cover with sterile dressing Do not attempt to reduce fracture

Answer 6

Fracture reduction: Restoration of the fracture fragments to anatomic alignment and positioning Closed: Uses manipulation and manual traction , traction may be used Open: Internal fixaiton devices hold phone fragment in position (pins, wires, screws, plates) Immobilization: Casts, splints, internal fixations

Answer 7

Shock Fat emolism Compartment syndrome VTE/ PE

Answer 8

Delayed union, malunion, nonunion Avascular necrosis of bone Complex regional pain syndrome Heterotrophic ossification

Answer 9

Increased pressure within a muscle compartment restricts blood flow , leading to tissue damage

Answer 10

Use of clavicular strap or sling Excersises for wrist, elbow, and fingers asap Do not elevate arm above shoulder for about 6 weeks

Answer 11

Slings and bracing Activity limitations until adequate period of immobilization

Answer 12

Monitor regularly for neurovascular compromise and signs of compartment syndrome Potential for VOlkkman contracture Active exercise and ROM are encouraged to prevent limitation of joint movement after immobilization and healing (4-6 weeks for nondisplaced, casted) and 1 week for internal fixation

Answer 13

Early functional rehab exercises Active motion exercises of fingers and shoulder

Answer 14

Managment depends on type and extent of fracture and associated injuries Stable fractures are treated with a few days of bed rest and symptom management Early mobilization reduces problems related to immobility

Answer 15

Surgery is done to reduce and fixate fracture Care is similar to someone undergoing surgery for hip

Answer 16

Lower leg, foot, and hip exercises to preserve muscle function and improve circulation Early ambulation stimulates healing Physical therapy, ambulation, and weight bearing are prescribed Active and passive knee exercises are begun as soon as possible to prevent restriction of knee movement

Answer 17

Asses the 5 P's Monitor and treat pain

Answer 18

Acute compartment syndrome: Ischemia and irreversible damage can occur within hours ; notify physician Pressure injuries: Patient reports a "hot spot" and tightness Disuse syndrome: Muscle atrophy and loss of strenght

Answer 19

Pulling force to a part of the body Reduces spasms Aligns fractures Reduces deformity Used as a short term intervention Traction needs to be applied in 2 directions ; whenever theres a force applied a counterforce must be applied 2 types: Skin and Skeletal

Answer 20

Monitor for skin breakdown, nerve damage, and circulatory impairment Inspect skin 3 times a day Palpate traction tapes for tenderness Asses capilarry fill and and temp of skin

Answer 21

Evaluate traction aparatus and patient positioning Maintain alignment of body Trapeze to help with movement Assess pressure points every 8 hours Regular shifting of positioning SPecial mattress Perform active foot exercises and leg exercises every hour Antiemolism stockings, compression devices Pin Care

Answer 22

Monitor for Pneumonia, constipation, Anorexia, VTE Assist with self care

Answer 23

Vitals Respiratory function Bowel function

Answer 24

Neurovascular assessment Coping Signs of infection

Answer 25

Noninflammatory degenerative disorder of the joints Primary: No prior event or disease related to OA or secondary : resulting from other things

Answer 26

Older age Female Sports and occupation Obesity is most modifiable

Answer 27

Pain and stiffness Relieved with rest Morning stiffness Mostly in weight bearing joints

Answer 28

Balanced diet with vitamin C and D Regular weight bearing exercises Weight training to stimulates bone density

Answer 29

Calcium and Vitamin D Bisphonates Calcitonin Estrogen antagonists/ agonists Parathyroid hormone

Answer 30

Relieving pain Improving bowel movements: high fiber diet, increased fluids, stool softeners Preventing injury

Answer 31

Metabolic bone disease characterized by inadequate bone mineralization Can be from deficiency of vitamin D Causes: GI disorders, renal insufficiency, hyperparathyroidism, dietary insufficiency

Answer 32

Correct underlying cause Kidney disease: Supplement calcitriol Malabsorption: Increase doses of vitamin D and calcium Exposure to sunlight may be recommended

Answer 33

Disorder of localized bone turnover

Answer 34

Skeletal deformities Pain and tenderness and warmth over bones Most patients don't have symptoms Pharmacological management: NSAIDS, antineoplastic therapy, calcitonin, biphosphanates, pilcamycin

Answer 35

Infection of bone Occurs because of: Extension of soft tissue infection, direct bone contamination, blood born spread from another site infectinon Causative: MRSA, E. Coli

Answer 36

Signs and symptoms of infection With chronic, fever may be low grade and occur in afternoon or evening Signs and syptoms of adverse reactions and anitbiotic therapy

Answer 37

Relief of pain Improved physical mobility Control and eradication of infectino Knowledge of therapeutic regiment

Test 4 Musculoskeletal Shi Flashcards

(62 cards)