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What are clinical manifestations of developmental dysplasia of Hip? (DDH) -
ANSWER: -dislocated hip joint
shortening of limb
positive barlow (does hip go out of joint?)you go OUT to the bar
positive ortolani (do hips gO back into socket?) gO hOme
What do we do for DDH? -- ANSWER: -harness hips into place
traction or reduction spica casting
What is nursing management for DDH? -- ANSWER: -recognize it early
educate the parents
maintain skin integrity in the cast
maintain 180 degrees in spica cast
watch growth and development
What are clinical manifestations slipped capital femoral epiphysis? -- ANSWER: -
hip pain, maybe into the knee
limp
decreased ROM
,What do we do for slipped capital femoral epiphysis? -- ANSWER: -surgery
traction w/ pins before surgery
Who is at risk for club foot? (talipes deformites) -- ANSWER: -family Hx
breech position
baby boys
what is nursing management for clubbed foot? talipes deformites -- ANSWER: -
cast care
passive ROM
What do we do for clubbed foot? talipes deformites -- ANSWER: -serial casting
corrective shoes/braces
How to take a calcium supplement? -- ANSWER: -with meals, orange juice, split
doses
milk
What meds do we give for bone growth? -- ANSWER: -recombinant parathyroid
hormone (builds bone) (PARA)
biphosphonates (inhibits osteoclasts) (end in ONATE)
, What are nursing interventions for casts? -- ANSWER: -maintain alignment
skin integrity
monitor for complications
monitor neurovascular assessment
teach exercise to regain strength and function
What is superior mesenteric artery syndrome? -- ANSWER: -acute anxiety
claustorphobia
ischemia/gangrenous bowel
what is nursing management for SKIN traction? -- ANSWER: -6 P's
assess traction mechanics
never lift weights unless with order or prover present
promote exercise within limits of traction
medicate for pain!!
monitor for complications
What are different nursing care delivery systems? -- ANSWER: -total pt care
functional nursing
primary nursing
team nursing