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Immobility
ppt
43
Nursing
Undergraduate 1
02/27/2023

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Cards

Term
heating pad should not be used over an area of
Definition
join replacement
Term
neurovascular assessment after hip replacement: 2 ps
Definition
pallor, pain, parathesia, paralysis, puls, perfusion, polar
Term
Degeneration of articular cartilage with hypertrophy of the underlying and adjacent bone
Definition
osteo arthritis
Term
in osteoartrhitis shock absorbing protection is
Definition
lost
Term
New bone growth is stimulated by exposed bone surfaces, causing
Definition
bone spurs
Term
s&s of oa
Definition
Pain in affected joint, stiffness, limitation of movement, mild tenderness, swelling, and deformity or enlargement of the joint
Heberden nodes and Bouchard nodes
Term
Enlargements of the last joints of finger
Definition
Heberden's nodules:
Term
Enlargements of the middle joints of finger
Definition
Bouchard's nodules
Term
drug therapy for OA
Definition
Acetaminophen, NSAIDs (ASA, ibuprofen, naproxen), indomethacin, glucocorticoid injections, dietary supplements (glucosamine, chondroitin)
Term
surgery for OA
Definition
Arthroscopic surgery and arthroplasty
Term
Chronic, progressive, degenerative, autoimmune disease that effects the brain and spinal cord (CNS)
Definition
Multiple Sclerosis
Term
Multiple sclerosis may be suspected if ther is _____ in two different parts of the ___ at two different times
Definition
decreased function, CNS
Term
Relapses of MS may be associated with periods of
Definition
emotional and physical stress
Term
stable MS:
Definition
no active disease for a year
Term
Second most common neurological cause of disability
Definition
Multiple Sclerosis
Term
Multiple scleroissi is highest in people between ___ yrs of age and affects __
Definition
20-40, women more than men
Term
s&s of Multiple Sclerosis
Definition
Fatigue, weakness, and tingling in one or more extremities; visual disturbances; problems with coordination & balance; abnormal reflexes; bowel and bladder dysfunction; spasticity; tremors; facial or muscle pain; and depression
Term
factors that can trigger MS exacerbation FAPS
Definition
fatigue, acute illness, pregnancy, stress
Term
medical treatment for MS
Definition
Corticosteroids, Interferon  1b (Betaseron) and interferon 1a (Avonex)
Glatiramer acetate (Copaxone), Immunosuppressants, cholinergics, anticholinergics
Term
immunosuppressants
Definition
mitoxantrone (Novantrone)
Amantadine (Symmetrel)
Term
urinary retention r/t MS is treated with cholinergics such as
Definition
bethanechol (Urecholine) or neostigmine (Prostigmine)
Term
urin spasticity r/t MS is treated with
Definition
anticholinergics
Term
term used for an amputation through the joint
Definition
Disarticulation
Term
The general site of the amputation is described by the
Definition
joint nearest to it
Term
diseases that may indicat amputation
Definition
Peripheral vascular disease, diabetes mellitus, arteriosclerosis, and chronic osteomyelitis
Term
a long skin flap with soft tissue and muscle is positioned over the severed end of the bone and sutured together
Definition
closed amputation
Term
Creates a weight-bearing residual limb (stump), important for lower extremity amputations
Definition
closed amputation
Term
The severed bone or joint is left uncovered
Definition
open amputation
Term
Required when an actual or potential infection exists
Definition
open amputation
Term
open amputation wound is usually left open for
Definition
5-10 days
Term
pt can usuall bear full weight on permanent prosthesis about ___ after amputation
Definition
3 months
Term
complications of amputation
Definition
Hemorrhage
Hematoma
Necrosis
Wound dehiscence
Gangrene (necrosis)
Edema
Contracture
Pain
Infection
Phantom limb sensation
Phantom limb pain
Term
Involves the use of a microscope and highly specialized instruments to reanastomose (reconnect) blood vessels and nerve fibers in a severed limb
Definition
replantation
Term
in general the greater the muscle mass injur the less likely _ is possible
Definition
replantation
Term
Wrap amputated parts in a clean cloth saturated with
Definition
normal saline or Ringer’s lactate
Term
amputated parts are placed in a sealed plastic bad that is blaced in
Definition
ice water
Term
turniquets should not be used in amputations unless absolutely
Definition
necessary
Term
If the dressing becomes saturated with blood,
Definition
reinforce the dressing
Term
often accompanies replantation
Definition
massive edema
Term
Room temp at _ to prevent compensatory vasoconstriction of peripheral tissues
Definition
80° F
Term
MS destroys the
Definition
myelin sheath
Term
most common type of MS
Definition
chronic progressive
Term
priority assessment for post surgical amputee
Definition
hemorrhage
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