Know how to care for them post op Flows into musculoskeletal is both

Know how to care for them post op flows into

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Know how to care for them post-op
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What are the nursing responsibilities here?
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Perform ROM of unaffected extremity If trapeze is available and pt has good upper body strength its good to use. They can lift bottom off bed to prevent skin breakdown Assess for urinary retention If in traction a long time could develop respiratory complications – keep a look out for this
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Skeletal traction Skeletal traction ore for long term while bucks is usually short term Person in traction plus pin care Know how to assess pin sites, cleansing them, know how often you might do skin care Know what the site might look like if its infected What normal drainage and not normal drainage Red and inflamed would be sings of infection
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Cast care Two types Fiberglass and plaster pairs Plaster cast Takes longer to dry – what do you do while its drying? How do you handle the cast? What's the position of the leg? Elevated – reduce swelling Assess toes to Make sure there is circulation Ask pt to wiggle toes Ask pt can you feel me while touching toes Making sure toes are warm Neurovascular checks (“cant stress that enough”) Color of toes – blue = call dr immediately
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Complications Fat emboli Time frame is just a guideline. So if you read a question and you think its fat emboli don’t get flustered by the time line. What does the nurse look for? (symptoms)
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  • Spring '17
  • Nursing, Systemic lupus erythematosus, Recognize opportunistic dx, Checking Neurovascular status, orthopedic nursing care

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