3.7 Pressure Injury

Pregunta	Respuesta
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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	Creado por Mia Li hace casi 7 años