3.7 Pressure Injury

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571 Clinical Cardiopulm Karteikarten am 3.7 Pressure Injury, erstellt von Mia Li am 04/12/2017.
Mia Li
Karteikarten von Mia Li, aktualisiert more than 1 year ago
Mia Li
Erstellt von Mia Li vor etwa 7 Jahre
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Time frame to look at for pressure injuries 72 hours
Some functional tests fo pressure injury wounds. 30 sec sit-to-stand SSWS
minimal walking speed for community ambulation 1m/s
Limited community ambulation speed 0.6-1 m/s
household walking speed <0.6m/s
Staging for pressure injury 1. stage I: intact skin, non-blanchable redness. 2. Stage II: partial thickness loss of dermis, shallow ulcer/blister 3. Stage III: full thickness loss, may see subQ fat. no other tissue. May have undermining/tunneling/slough 4. stage IV: full thickness loss. Exposure of muscle/bone/tendon also: deep tissue/ unstageable.
S/S for deep infection within 3 days, pt has elevated WBC's, new onset of odor from wound, periwound temp of 6 deg F.
STONEES for deep compartment/systemic therapy 1. Size increase 2. Temp increase 3. Osteomyelitis 4. New /satellite wound 5. Erythema 6. Edema 7. Smell
Differentiate Lisfranc, Chopart, and Syme amputation. Lisfranc: behind metatarsals. Chopart: only talus and calcaneus left Syme's: ankle disarticulation
Ideal bone length for BKA is 12 - 17cm from medial joint line
Weight-bearing of transtibial amputation occurs at tibia
Weight-bearing of trans-femoral amputation is at pelvis
Post-operative dressing for amputee is rigid dressing removable rigid dressing - used to prevent contracture
Knee contracture of ____ degrees or more prevents proper fitting of prosthesis 20
T/F: Immediate post-op prosthesis allows ambulation for partial WB. T.
Good position for amputee patient is Prone
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