NUR 2214 Test 1
1. Compartment syndrome S/S
- Pain
not relieved by analgesics or elevation
- Pulselessness
no palpable pulse in compartment or distal to the fracture
- Pallor
pale skin, poor perfusion, CRT >3
- Paraesthesia
tingling / burning sensation
- Pressure - Involved area tense and warm; skin tight / shiny; pressure in compartment when
elevated
2. Compartment syndrome
,what to do
- what will be needed?
Take off the cast Fasciotomy
3. Hip replacement
- post op management
Abduction pillow Neuro checks
Stay hydrated Repositioning
4. When do you manage pain?
Before it gets bad. It is more difficult to treat breakthrough pain.
5. Pain medication Classifications
Opioids Non-Opioids
Adjunct pain medications
,6. Who is the best person to know about the patient's pain?
The patient
7. What is the best way for the patient to manage their pain?
PCA pump
8. Collie's Fracture
Wrist fracture that occurs when someone falls, sticks out their hands / arms to catch themselves,
and then fracture the wrist.
9. Compartment Syndrome vs Fat embolism
Fat embolism
when bone breaks, and fat travels through the blood vessels to another part of the body
Compartment Syndrome
when internal bleeding / swelling fills the compartment.
10. Meds to treat cerebral palsy
, Botox Baclofen
Flexaril
11. Baclofen - why give it for cerebral palsy?
loosens spastic muscles through- out the body
12. Botox - why give it for cerebral palsy?
Reduce spasticity in targeted muscles
13. Pt on continuous IV pain medication has decreased respiratory rate or effort. What do you
do? Why?
Stop the infusion - so patient does not go into respiratory arrest.
14. Fractures
- Classifications
- Complete
- Incomplete
1. Compartment syndrome S/S
- Pain
not relieved by analgesics or elevation
- Pulselessness
no palpable pulse in compartment or distal to the fracture
- Pallor
pale skin, poor perfusion, CRT >3
- Paraesthesia
tingling / burning sensation
- Pressure - Involved area tense and warm; skin tight / shiny; pressure in compartment when
elevated
2. Compartment syndrome
,what to do
- what will be needed?
Take off the cast Fasciotomy
3. Hip replacement
- post op management
Abduction pillow Neuro checks
Stay hydrated Repositioning
4. When do you manage pain?
Before it gets bad. It is more difficult to treat breakthrough pain.
5. Pain medication Classifications
Opioids Non-Opioids
Adjunct pain medications
,6. Who is the best person to know about the patient's pain?
The patient
7. What is the best way for the patient to manage their pain?
PCA pump
8. Collie's Fracture
Wrist fracture that occurs when someone falls, sticks out their hands / arms to catch themselves,
and then fracture the wrist.
9. Compartment Syndrome vs Fat embolism
Fat embolism
when bone breaks, and fat travels through the blood vessels to another part of the body
Compartment Syndrome
when internal bleeding / swelling fills the compartment.
10. Meds to treat cerebral palsy
, Botox Baclofen
Flexaril
11. Baclofen - why give it for cerebral palsy?
loosens spastic muscles through- out the body
12. Botox - why give it for cerebral palsy?
Reduce spasticity in targeted muscles
13. Pt on continuous IV pain medication has decreased respiratory rate or effort. What do you
do? Why?
Stop the infusion - so patient does not go into respiratory arrest.
14. Fractures
- Classifications
- Complete
- Incomplete
