ORIF open reduction internal fixation neurovascular assessment focus areas (5Ps) 85% % of hip fractures in people older than 65 Pulse use a doppler if you can't palpate this aspirin, SCDs, TED hose lovenox DVT prophylaxis Early mobilization decreases mortality rate after ortho post op fascia can't expand to increased pressure BKA below the knee amputation out of bed This should happen on post op day 0 1-3 days after injury (usually femur) when trauma pt will typically develop fat embolism Osteoporosis and falls Risk factors for hip fx Pallor sign of arterial insufficiency below level of injury something to reduce risk or hip fracture Risk factors for compartment syndrome trauma, plaster cast, ortho postops, burns, infected limb age, type of fx, bone quality factors considered for hip fx treatment Paralysis Late sign of prolonged nerve compression or muscle necrosis surgical fasciatomy Paresthesia decreased sensation, hypersensation - result of nerve compression This should never be placed under the knee after TKA Pain Worry if this is out proportion to injury - - not relieved by meds This traction has an external pin distal to stabilized area fat particles lodge in vessel Buck's traction neurovascular assessment assessing nerve function and blood flow to injured extremity ORIF open reduction internal fixation neurovascular assessment focus areas (5Ps) 85% % of hip fractures in people older than 65 Pulse use a doppler if you can't palpate this aspirin, SCDs, TED hose lovenox DVT prophylaxis Early mobilization decreases mortality rate after ortho post op fascia can't expand to increased pressure BKA below the knee amputation out of bed This should happen on post op day 0 1-3 days after injury (usually femur) when trauma pt will typically develop fat embolism Osteoporosis and falls Risk factors for hip fx Pallor sign of arterial insufficiency below level of injury something to reduce risk or hip fracture Risk factors for compartment syndrome trauma, plaster cast, ortho postops, burns, infected limb age, type of fx, bone quality factors considered for hip fx treatment Paralysis Late sign of prolonged nerve compression or muscle necrosis surgical fasciatomy Paresthesia decreased sensation, hypersensation - result of nerve compression This should never be placed under the knee after TKA Pain Worry if this is out proportion to injury - - not relieved by meds This traction has an external pin distal to stabilized area fat particles lodge in vessel Buck's traction neurovascular assessment assessing nerve function and blood flow to injured extremity
(Print)
I-open reduction internal fixation
I-neurovascular assessment focus areas (5Ps)
N-% of hip fractures in people older than 65
G-use a doppler if you can't palpate this
O-DVT prophylaxis
I-decreases mortality rate after ortho post op
B-fascia can't expand to increased pressure
I-below the knee amputation
O-This should happen on post op day 0
G-when trauma pt will typically develop fat embolism
B-Risk factors for hip fx
G-sign of arterial insufficiency below level of injury
O-something to reduce risk or hip fracture
B-trauma, plaster cast, ortho postops, burns, infected limb
B-factors considered for hip fx treatment
N-Late sign of prolonged nerve compression or muscle necrosis
O-surgical fasciatomy
I-decreased sensation, hypersensation - result of nerve compression
G-This should never be placed under the knee after TKA
N-Worry if this is out proportion to injury - - not relieved by meds
N-This traction has an external pin distal to stabilized area
B-fat particles lodge in vessel
G-Buck's traction
O-assessing nerve function and blood flow to injured extremity
