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Orthopedic Nursing. Lecture Notes @ Philipine Orthopedic Center

Orthopedic Nursing. Lecture Notes @ Philipine Orthopedic Center

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Published by hannjazz
Guide lecture notes basically used in Philippine Orthopedic Center
Guide lecture notes basically used in Philippine Orthopedic Center

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Published by: hannjazz on Jan 09, 2011
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11/03/2014

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 James M. Alo, RN, MAN, MAPsycho, Ph.DPage
1
NURSING CARE FOR BST (BALANCED SKELETAL TRACTION)
1.Assess the patient’s level of consciousness and understanding.2.Provision of general comfort.3.Skin care4.Perineal Care
POTENTIAL COMPLICATIONS IN BST (BALANCED SKELETAL TRACTION)
1.Bed sores (advise the patient to turn sides, maintain the linens to be dry and clean aswell as free from wrinkles, etc)2.Pneumonia (encourage deep breathing exercises to the patient in order to promote lungexpansion, back tapping to promote loosen the bronchial secretions)3.Urinary Tract Infections (advise the patient to have a regular voiding, good perineal careand to increase fluid intake)4.Constipation (advise to increase fluid intake, high fiber diet and have a regular bowelmovement)5.Contractures and stiffness of the muscles (encourage to have a contraction andrelaxation of the quadricep muscles, foot pedal exercises/dorsiflexion of the feet)6.Infection at the Steinmann pin sites
FORMAT FOR CASE ANALYSIS
Name: Age:Address: Status:Date admitted: Educational Attainment:Physician incharge: Case number:Diagnosis:Physical Assessment:Nursing History (present health history, past health history, family history):Pathophysiology (including the anatomy and physiology of the affected part)Diagnostic procedures:Medical Management:Surgical Management:Discharge Plan:
 
 James M. Alo, RN, MAN, MAPsycho, Ph.DPage
2
FORMAT FOR REPORTING (ORAL AND WRITTEN)
Definition/alternative namesCausative agentCausative factorsClinical manifestationsPathognomonic signsPathophysiologyAnatomy and physiology (affected part)Diagnostic proceduresMedical managementSurgical managementNursing careHARDWARE (Purpose: to put bones in good alignment without conformity and infection andalso to reduce fracture through external and internal fixators)
IMPLANTSINDICATIONSURGERY
INTERNAL FIXATORS:Hip prosthesisFor fracture of the femoralhead and neckPartial hip replacementarthroplastySpacer with antibioticFor infected hip prosthesisPartial hip replacementarthroplastyHip prosthesis and acetabularcupFracture of femoral head,femoral neck including theacetabulumTotal hip replacementarthroplastyFemoral-tibial componentFor osteoarthritis in the knee- jointTotal knee replacementarthroplastyCerclage wireFracture of the patellaTension bond wiringAntibiotic beadsOsteomyelitisApplication of the antibioticbeadsLuque rod/harrington rodScoliosisLuque rod instrumentationSubluminar wiresSpine surgeriesKirshneirs wireUsed in BSTKirshneirs wire holderUsed in BSTCompression plates andInter-trochanteric of theCompression hip screw
 
 James M. Alo, RN, MAN, MAPsycho, Ph.DPage
3
screwsfemurfixationAO Screw driverWire cutterGigli sawAmputation of long bonesStaple wire removerSkin stapler (after 7 days itwill be removed)Osteotomes and malletIntramedullary nailFracture of the middle third othe femurOpen reductionintramedullary nailing forfracture of middle third of femurIntramedullary locking screws Fracture of distal of femur/tibiaOpen reductionintramedullary nailing withstatic locking screwsBone drillDrillbitFor preparation for screwfixationButtress plate/T plateFracture of the proximal tibiaIntramedullary nail extractor Inserted laterally to the hipEXTERNAL FIXATORSRogers andersonComminuted fractureApplication of rogersanderson external fixatorsHybrid external fixatorPeriarticular injury of theankle and knee-jointApplication of hybrid externalfixatorsIlizarovLong bones with malunion(promotes bone growth andlengthening)Application of ilizarov externalfixatorModified skin external fixatorSpanning external fixatorLong bones (distalfemur/proximal tibia)Application of spanningexternal fixatorHoffman’s external fixatorFracture of pelvis (superiorand inferior)Applicayion of hoffman’sexternal fixatorFractures
·
Simple (closed)
·
Compound (open)5 Cardinal Signs of Fracture:
·
Swelling
·
Tenderness

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