ORPEDIC NURSE CERTIFICATION: AN A+ QUESTIONS AND
ANSWERS PLAYBOOK
Hip Fracture
-1 in 5 people die within a year
-S/S: External rotation, muscle spasm, shortening of affected extremity, severe pain around fracture site
Interventions: Buck's traction before surgery, surgery
Stable Vertebral Fracture
-Logrolling
-Monitor signs of spinal cord involvement
-Brace
-Possible Vertebroplasty or balloon kyphoplasty
Syme's amputation
the removal of the foot at the ankle
Guillotine amputation
Limb or portion of a limb is severed from the body, and the wound is left open; a type of open
amputation.
Osteomyelitis
-Infection of the bone
-Sequestra (dead bone separated from living bone) form and blood supply is cut off from it
-Involucrum (new bone growth from new blood supply) forms
Osteomyelitis S/S
-Bone pain
-Swelling
-Tenderness
-Warmth
-Restricted movement
-Fever
-Night sweats
-Chills
-Restlessness
-Nausea
-Malaise
-Pus at site
Osteomyelitis Diagnostics
-Biopsy
-Elevated WBC, CRP, and ESR
, -CT
-MRI
Osteomyelitis Treatment
-IV antibiotics after culture drawn
-I&D
-Oral Cipro for chronic osteomyelitis
-Antibiotic beads
-Wound vac
-Hyperbaric O2
-If severe then amputation
Gentamicin Considerations
-Used for osteomyelitis
-Effects renal function
-Toxicity causes inner ear problems
Tobramycin and neomycin reactions
-Hearing deficit
-Impaired renal function
-Neurotoxicity
Cephalosporins reactions
-Hives
-Watery diarrhea
-Blood in stools
-Throat or mouth sores
Levaquin reaction
Tendonitis or tendon rupture
Arthrodesis
Surgical fusion of a joint which stabilizes but immobilizes the joint
Disarticulation
Amputation through a joint
Colles fracture
-Fracture of the distal radius at the wrist
-Tx: immobilization, open or closed reduction with a sugar-tong splint, Ice, Elevation, anti-
inflammatories
-Confirmed with x-ray and repeat x-ray in one week, if improved then apply short-arm cast 4-6 weeks
Diaphyseal or shaft fracture
ANSWERS PLAYBOOK
Hip Fracture
-1 in 5 people die within a year
-S/S: External rotation, muscle spasm, shortening of affected extremity, severe pain around fracture site
Interventions: Buck's traction before surgery, surgery
Stable Vertebral Fracture
-Logrolling
-Monitor signs of spinal cord involvement
-Brace
-Possible Vertebroplasty or balloon kyphoplasty
Syme's amputation
the removal of the foot at the ankle
Guillotine amputation
Limb or portion of a limb is severed from the body, and the wound is left open; a type of open
amputation.
Osteomyelitis
-Infection of the bone
-Sequestra (dead bone separated from living bone) form and blood supply is cut off from it
-Involucrum (new bone growth from new blood supply) forms
Osteomyelitis S/S
-Bone pain
-Swelling
-Tenderness
-Warmth
-Restricted movement
-Fever
-Night sweats
-Chills
-Restlessness
-Nausea
-Malaise
-Pus at site
Osteomyelitis Diagnostics
-Biopsy
-Elevated WBC, CRP, and ESR
, -CT
-MRI
Osteomyelitis Treatment
-IV antibiotics after culture drawn
-I&D
-Oral Cipro for chronic osteomyelitis
-Antibiotic beads
-Wound vac
-Hyperbaric O2
-If severe then amputation
Gentamicin Considerations
-Used for osteomyelitis
-Effects renal function
-Toxicity causes inner ear problems
Tobramycin and neomycin reactions
-Hearing deficit
-Impaired renal function
-Neurotoxicity
Cephalosporins reactions
-Hives
-Watery diarrhea
-Blood in stools
-Throat or mouth sores
Levaquin reaction
Tendonitis or tendon rupture
Arthrodesis
Surgical fusion of a joint which stabilizes but immobilizes the joint
Disarticulation
Amputation through a joint
Colles fracture
-Fracture of the distal radius at the wrist
-Tx: immobilization, open or closed reduction with a sugar-tong splint, Ice, Elevation, anti-
inflammatories
-Confirmed with x-ray and repeat x-ray in one week, if improved then apply short-arm cast 4-6 weeks
Diaphyseal or shaft fracture
