Nu 155 med surg, exam 4,
musculoskeletal
What is tx for carpal tunnel syndrome? - ANSWER -RICE, splinting, changing angle of wrist, steroid
injections, surgery
What is a fracture? - ANSWER -A break or interruption in the continuity of a bone
Caused by trauma & osteoporosis, metabolic problems
, What are types of fractures? - ANSWER -Complete, incomplete (hair line), closed/simple (inside skin),
open/compound (through skin), green stick (doesn't fully break), comminuted (disintegrated)
What are s/s of fractures? - ANSWER -Swelling and/or bleeding, Tenderness, loss of function, Deformity
of the bone, Ecchymosis, crepitation with any movement
Why are elders at increased risk for fractures? - ANSWER -Decreased reaction time, failing vision, less
agility, balance alterations, decreased muscle tone, fall risk/fall precautions
Tx for fractures - ANSWER -Prevent shock and hemorrhage, "Splint as it lies", Tetanus immunization,
Prophylactic antibiotics
Closed reduction fracture - ANSWER -Bone is manipulated into alignment
Open reduction fracture - ANSWER -Alignment is attained through surgical intervention
Stabilization reduction - ANSWER -Internal fixation, External fixation, Casts, splints, and braces, Traction
Examples of internal fixation - ANSWER -Pins, nails, metal plates
ORIF used for older adults
IV antibiotic to reduce risk for infection
Nursing care for internal fixation - ANSWER -Maintain good alignment of the affected leg
Prevent complications of immobility
Control pain
When to use external fixation? - ANSWER -Open-fractures w/soft tissue damage, infected fractures that
do not heal properly, burns, chest injury, head injury
Nursing management for fixations - ANSWER -Pin site care, pre medicate for pain, PT, ADLs
musculoskeletal
What is tx for carpal tunnel syndrome? - ANSWER -RICE, splinting, changing angle of wrist, steroid
injections, surgery
What is a fracture? - ANSWER -A break or interruption in the continuity of a bone
Caused by trauma & osteoporosis, metabolic problems
, What are types of fractures? - ANSWER -Complete, incomplete (hair line), closed/simple (inside skin),
open/compound (through skin), green stick (doesn't fully break), comminuted (disintegrated)
What are s/s of fractures? - ANSWER -Swelling and/or bleeding, Tenderness, loss of function, Deformity
of the bone, Ecchymosis, crepitation with any movement
Why are elders at increased risk for fractures? - ANSWER -Decreased reaction time, failing vision, less
agility, balance alterations, decreased muscle tone, fall risk/fall precautions
Tx for fractures - ANSWER -Prevent shock and hemorrhage, "Splint as it lies", Tetanus immunization,
Prophylactic antibiotics
Closed reduction fracture - ANSWER -Bone is manipulated into alignment
Open reduction fracture - ANSWER -Alignment is attained through surgical intervention
Stabilization reduction - ANSWER -Internal fixation, External fixation, Casts, splints, and braces, Traction
Examples of internal fixation - ANSWER -Pins, nails, metal plates
ORIF used for older adults
IV antibiotic to reduce risk for infection
Nursing care for internal fixation - ANSWER -Maintain good alignment of the affected leg
Prevent complications of immobility
Control pain
When to use external fixation? - ANSWER -Open-fractures w/soft tissue damage, infected fractures that
do not heal properly, burns, chest injury, head injury
Nursing management for fixations - ANSWER -Pin site care, pre medicate for pain, PT, ADLs
