Questions and Answers
What is the primary purpose of disposable bed baths?
Soaking the feet of a patient with diabetes is recommended.
False
What should be controlled to protect patients during a bath?
Bathwater temperature
Skeletal traction is most effective for immobilizing joints and bones, reducing or realigning __________ and __________.
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What is the method of applying skeletal traction?
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What is one purpose of using a cast?
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What is a complication of fractures?
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Delayed union indicates that bone healing is occurring faster than expected.
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What is one possible consequence of malunion after a fracture?
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Carisoprodol (Soma) is used to alleviate discomfort associated with __________ conditions.
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Study Notes
Disposable Bed Bath
- Supplies needed include washcloths, bath towels, toiletries, disposable wipes, a clean gown, a linen bag, gloves, and a bath-in-a-bag product.
- Important for promoting skin integrity and preventing infections.
- Always assess and control bathwater temperature, particularly for patients with reduced sensation.
- Avoid soaking feet in patients with diabetes or peripheral vascular disease.
- Ensure patients without sensation or cognitive impairment do not bathe independently.
Necessity for Extremity Traction
- Definition: Seven duration practice of slowly pulling on a broken bone to realign it for stabilization.
- Purpose: Prevent pain, reduce muscle spasms, immobilize joints, and treat joint conditions.
Skin Traction
- Typically used short-term (48-72 hours) with 5 to 10 pounds of weights.
- Involves direct application of tape or splints to the skin.
- Ongoing skin assessment is critical to prevent breakdown.
Skeletal Traction
- Involves pin or screw insertion into the bone for long-term traction.
- Used for severe fractures and dislocations, maintaining continuous traction.
- Effective for immobilizing joints and relieving pressure.
Medications for Muscle Spasm
- Carisoprodol (Soma): Relaxant approved for acute musculoskeletal discomfort.
- Cyclobenzaprine (Flexeril): Relieves local skeletal muscle spasms without affecting muscle function.
- Methocarbamol (Robaxin): Calms overactive nerves to reduce spasms.
Purpose of Cast
- Temporary solution allowing normal activities of daily living.
- Made from various materials and incorporates joints above/below the fracture.
- Immobilization is initiated by wrapping plaster of Paris around padding, setting in about 15 minutes.
Closed Reduction Techniques
- Open Reduction Internal Fixation (ORIF): Surgical procedure involving incisions and bone repositioning, which risks infection but facilitates early mobility.
- Closed Reduction Internal Fixation (CRIF): Non-surgical manual realignment performed under anesthesia, followed by immobilization.
Complications of Fractures
- Pulmonary Embolism (PE): A blood clot in lung arteries affecting oxygen flow.
- Gas Gangrene (GG): A serious infection of soft tissue caused by Clostridium species.
- Tetanus: A bacterial infection leading to painful muscle spasms from Clostridium tetani.
Complications of Fracture Healing
- Delayed union: Bone healing takes longer than expected.
- Nonunion: Failure of the body to heal the fracture.
- Malunion: Improper healing leading to altered bone alignment.
- Pseudoarthrosis: A condition with non-healing of a broken bone, leading to the formation of a false joint.
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Description
This quiz focuses on the essentials for administering a disposable bed bath, highlighting the necessary supplies and best practices. Participants will learn about the importance of maintaining skin integrity and preventing infections in patients with varying health conditions. Proper techniques and precautions are essential for effective patient care.
