Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher | Registered Nurse (RN) School Study Aid
Prevention of Falls
- Physical Aging
- Polypharmacy
- Environmental
- Call Light within Reach
- Assistive Devices Available
- Bed Alarms
- Improve Lighting
- Remove Home Hazards
- Promote Exercise
- Fall Risk Assessment
Rotator Cuff
- External Rotation
- Teres Minor
- Infraspinatus
- Internal Rotation
- Subscapularis
- Abduction
- Supraspinatus
Types of Fractures
- Nondisplaced
- Displaced
- Incomplete
- Complete
- Closed
- Open
- Direction of Fracture Line
Neurovascular Assessment 6 P's
- Pain
- Paresthesia
- Pulse
- Pallor
- Pressure
- Paralysis
Cane
- COAL
- Sizing a Cane
- Quad Cane
- Rubber Tips for Safety
Walker
- Walker with Affected Leg
- Sizing a Walker
- Rubber Tips for Safety
Compartment Syndrome Assessment
- Trauma
- Increased Pressure
- Compressed Nerves and Blood Vessels
- 1 or more of 6 P's
- Ankle-Brachial Index (ABI)
- May take Days to develop
- Early Detection
- Ischemia
- Damage often Irreversible
Compartment Syndrome Interventions
- Frequent Neurovascular Assessments
- Evaluate Pain
- Do Not Elevate Extremity
- Remove or Loosen Restrictive Items
- Fasciotomy
- Amputation
- Infection
- Monitor Urine Output
Venous Thromboembolism (DVT) Assessment
- Venous Wall Inflammation caused by Thrombus
- Tenderness
- Edema
- Warmth
- Asymmetry
- Could be Asymptomatic
- Monitor for Pulmonary Embolism
Warfarin (Coumadin)
- Inhibits Clotting Factors
- Atrial Fibrillation
- Venous Thrombosis
- Pulmonary Embolism
- PT/INR Levels
- Observe for Bleeding
- Pregnancy
- Vitamin K and Fresh Frozen Plasma
- Prolonged Therapeutic Onset
- Maintain Same Diet
Heparin (Unfractionated)
- Suppresses Coagulation
- Deep Vein Thrombosis (DVT)
- Pulmonary Embolism
- Hemorrhage
- Heparin-Induced Thrombocytopenia (HIT)
- Monitor aPTT
- Preferred (Safe) During Pregnancy
- Protamine Sulfate
Hip Fracture
- External Rotation
- Muscle Spasms
- Shortened Leg
- Pain
- Buck's Traction
- Analgesics
- Surgery
- Avascular Necrosis
Hip Surgery
- Neurovascular Assessment
- No 90 Degree Hip Flexion
- No Adduction
- No Internal Rotation
- Avoid Turning on Affected Side
- Thromboembolism Prevention
Facial Bones
- Vomer
- Conchae
- Nasal
- Maxilla
- Mandible
- Palatine
- Zygomatic
- Lacrimal
Amputation
- Trauma
- Peripheral Vascular Disease
- Diabetes Complications
- Gentle Handling
- Surgical Tourniquet at Bedside
- Prevent Contractures
- Frequent Inspection
- Compression Bandages
- Phantom Pain
- Mirror Therapy
Total Knee Replacement (TKR)
- Joint Pain (Uncontrolled)
- Impaired Mobility
- Compression Dressing
- Frequent Neurovascular Assessments
- Continuous Passive Motion (CPM) Devices
- Early Ambulation
- Venous Thromboembolism (VTE) Prophylaxis
- Limit Flexion Positions
- Monitor for Infection