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Nursing Guide: Musculoskeletal Care

Braces are generally used for longer periods than splints to support the body part in a functional position, control movement, and prevent further injury. Signs of infection in a cast include odors and purulent drainage staining the cast. To reduce roughness, the edges of a cast must be filed down. Buck's traction is applied below the knee to immobilize proximal femur fractures with no more than 2-3.5 kg of traction. Early mobilization after hip replacement improves prosthesis fixation if done within the patient's tolerance range. Measures to prevent hip dislocation include avoiding forward bending and not allowing the leg to cross the body or turn inward.

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Han Joshua Pacaña
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125 views2 pages

Nursing Guide: Musculoskeletal Care

Braces are generally used for longer periods than splints to support the body part in a functional position, control movement, and prevent further injury. Signs of infection in a cast include odors and purulent drainage staining the cast. To reduce roughness, the edges of a cast must be filed down. Buck's traction is applied below the knee to immobilize proximal femur fractures with no more than 2-3.5 kg of traction. Early mobilization after hip replacement improves prosthesis fixation if done within the patient's tolerance range. Measures to prevent hip dislocation include avoiding forward bending and not allowing the leg to cross the body or turn inward.

Uploaded by

Han Joshua Pacaña
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© © All Rights Reserved
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MAYOCYOC, GRETTA MAE PANGILINAN NUR 149: MS2

BSN 3 –A3 MAY 06, 2021

SAS 30: MUSCULOSKELETAL CARE MODALITIES, ORTHOPEDIC SURGERIES, AND FRACTURES

CHECK FOR UNDERSTANDING: RATIONALE

1. Both brace and splint have the same purpose and that is to support the body part in functional
position, control movement and to prevent additional injury> However, braces are generally
used longer than splints.
2. Systematic signs infection includes odors from cast and purulent drainage staining the cast.
Consequently, assessment for other signs of infection should be done (e,g. fever, malaise,
elevated WBC)
3. In order to reduce the roughness of a cast, the edges must be petal led. Other options are not
appropriate measures to reduce roughness of a cast.
4. Buck’s traction is applied to the lower leg to immobilize fractures of the proximal femur. No
more than 2 to 3.5 kg (4.5 to 8lb) of fraction can be used on an extremity.
5. Traction is used to minimize muscle spasms; to reduce, align, and immobilize fractures; to
reduce deformity; and to increase between opposing surfaces.
6. Nursing care for a client in traction may include assessing pin sites every shift and as needed and
making sure the knots in the rope do not catch on the pulley.
7. Early weight hearing and mobilization are advantageous for patients that had undergone hip
replacement, as it improves the fixation of the prosthesis and decreases the incidence of early
loosening. However, these exercises are patient-specific and only within the range that the
patient can tolerate in order for it to be therapeutic.
8. After a hip replacement, the following measures are instructed in order to prevent dislocation of
the hip prosthesis: avoid bending forward when seated or to pick up an object, affected leg
should not cross the center of the body, hip should not bend more than and 90 degrees,
affected leg should not turn inward, and the knees should be keep apart at all times.
9. Manifestations of fractures are pain, swelling, bruising and dislocation, inability to use injured
part, numbness, and warmth around the area.
10. Fat embolism is the most fatal complications of fracture as this may lead to pulmonary
embolism. Manifestations of fat embolism are hemoptysis, dyspnea, petechial rash in the chest
and neck.
11. Vitamin D increases the absorption and use of the calcium and phosphorus which are the
minerals that helps the bones to become strong and well-functioned.
12. Initial action for person with suspected fracture is to assess the environment for safety, then
assess the patient for ABCD, and immobilize the affected extremity. Then after, call for help but
never leave the patient.
13. Due to decrease tissue perfusion, due to the inelasticity of fascia in a compartment syndrome,
the patient manifests paleness, negative pulse, coolness, and numbness. Paresthesia is the
sensation of tingling and numbness which is one of the manifestations of compartment
syndrome.
14. Fasciotomy is the surgical treatment of compartment syndrome. It involves cutting the fascia
over the affected area to permit muscle expansion.
15. The components of the neurovascular assessment include pulses, capillary refill, skin color,
temperature, sensation, and motor function.

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