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Flashcards in Neurovascular Deck (28)
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1
Q

What are the levels of amputation?

A

Above the knee
Below the knee
Toe, Mid-foot, Syme

2
Q

List common complications of amputation

A

Hemorrhage, Infection, Phantom pain, Neuroma, Flexion contractures

3
Q

How do you respond to limb pain

A

Medicate-analgesia and alternative therapies

4
Q

what is a neuroma?

A

tumor consist of damaged nerve cells formed after amputation

5
Q

how do you help prevent flexion contractures?

A

proper positioning-prone every 3-4 hours and active range of motion

6
Q

what is the most important assessment in musculoskeletal trauma?

A

neurovascular assessment

7
Q

In peripheral vascular disease, both sides should be checked.
T/F?

A

True

8
Q

How do you measure blood flow in patient with bilateral vascular disease?

A

Doppler

9
Q

where should you assess pulses in musculoskeletal injury or trauma?

A

Below the level of trauma

10
Q

What does hypercalcemia usually indicate?

A

Bone cancer

11
Q

What type of assessment should be included for osteoporosis patients?

A

Fall risk assessment

12
Q

List some interventions for osteoporosis

A

Increase calcium and vitamin D
Avoid alcohol and caffeine
weight bearing exercise
Avoid tobacco

13
Q

What is a common drug therapy for osteoporosis?

A

Bisphosphonates- alendronate(Fosamax), ibandronate (Boniva), risedronate (Actonel)

14
Q

When and how should bisphosphonates be taken?

A

Early morning and wait 30 - 60 min in upright position before eating

15
Q

what is a common complication of BP’s?

A

esophagitis

16
Q

interventions for osteomyelitis

A

IV antimicrobial therapy usually for several weeks

17
Q

why is sequestrectomy performed?

A

Bone cannot heal in presence of necrotic tissue

18
Q

what to look for post surgery for osteomyelitis

A

pain, pallor, pulseless, paresis, paralysis, parathesia

19
Q

what are the classifications of fractures?

A

Open, Closed, Impacted, Greenstick, Spiral, Comminuted, Displaced, Oblique

20
Q

Complications of fractures

A

Infection, immobility, Acute compartment syndrome, hypovolemic shock, fat embolism, venous thromboembolism, delayed union, crush syndrome

21
Q

what is the earliest manifestation of FE?

A

altered mental status

22
Q

what is the biggest risk for hip fractures?

A

osteoporosis

23
Q

what drug therapy should not be used for fractures especially in older adults?

A

Demerol (meperidine)

24
Q

how should patient be positioned after hip surgery

A

Supine, affected leg abducted, heels propped off the bed

25
Q

Sprain vs Strain

A

Sprain- ligament tear (worse)

Strain- muscle, tendon tear

26
Q

what medications are contraindicated for Gout?

A

aspirin and diuretics

27
Q

what is main priority with myasthenia gravis?

A

promote respiratory support

28
Q

How do you treat mild strains and sprains?

A

RICE

rest, ice, compression, elevation