Surgical Interventions and Wound Management
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Questions and Answers

What is the purpose of PMMA beads in surgical intervention for wounds?

  • To remove a segment of dead bone
  • To cover the wound with muscle tissue
  • To provide antibiotic treatment directly into the bone (correct)
  • To facilitate hyperbaric oxygen therapy
  • What is the main goal of performing a sequestrectomy?

  • To remove necrotic bone and promote healing (correct)
  • To facilitate hyperbaric oxygen treatment
  • To replace dead bone with synthetic materials
  • To create a muscle flap over a wound
  • When is amputation considered in wound care?

  • To prevent potential infections in ischemic areas
  • After other interventions have failed (correct)
  • Immediately upon diagnosis of any wound
  • As a first-line treatment for infections
  • What does hyperbaric oxygen therapy primarily treat?

    <p>Anaerobic infections through over-oxygenation (D)</p> Signup and view all the answers

    What does using muscle flaps aim to achieve in wound management?

    <p>To cover bony defects with soft tissue (D)</p> Signup and view all the answers

    What is the recommended daily dosage of calcium supplements for women aged 19-59?

    <p>1000 mg (A)</p> Signup and view all the answers

    Which of the following is a potential side effect of calcium supplements?

    <p>Constipation (C)</p> Signup and view all the answers

    What must be done after taking alendronate (Fosamax)?

    <p>Remain sitting or standing for at least 30 minutes (A)</p> Signup and view all the answers

    What is the upper limit for calcium intake per day to avoid adverse effects?

    <p>2500 mg (A)</p> Signup and view all the answers

    Which medication hinders bone resorption by inhibiting osteoclast activity?

    <p>Bisphosphonates (D)</p> Signup and view all the answers

    What is a common side effect associated with bisphosphonates?

    <p>Esophageal irritation (A)</p> Signup and view all the answers

    What is the recommended daily dosage of vitamin D for individuals aged 71 and older?

    <p>800 IU (C)</p> Signup and view all the answers

    When should a patient take risedronate (Actonel)?

    <p>First thing in the AM on an empty stomach (D)</p> Signup and view all the answers

    Which type of amputation is most commonly associated with trauma?

    <p>Upper extremities (B)</p> Signup and view all the answers

    What is the primary goal of surgical intervention following trauma?

    <p>To restore the amputated part to its anatomical site (C)</p> Signup and view all the answers

    Which of the following factors is NOT a risk factor for amputation?

    <p>Military service (A)</p> Signup and view all the answers

    What is the best immediate action to take in the field following a traumatic amputation?

    <p>Ensure the amputated part is cleaned and wrapped (C)</p> Signup and view all the answers

    Which factor does NOT contribute to the success of replanted body parts?

    <p>Age of the patient (C)</p> Signup and view all the answers

    What should be avoided to prevent reducing perfusion after an amputation?

    <p>Using a tourniquet (C)</p> Signup and view all the answers

    What is a common assessment aspect prior to a potential amputation?

    <p>Patient’s subjective health history (D)</p> Signup and view all the answers

    What is one of the main goals employers have regarding patient treatment?

    <p>To minimize treatment costs and expedite recovery (D)</p> Signup and view all the answers

    Which of the following is a reason for human error in a healthcare setting?

    <p>Fatigue from long shifts (D)</p> Signup and view all the answers

    What is the recommended method for preserving an amputated body part before arriving at the hospital?

    <p>Wrap it in dry sterile gauze and keep it on ice (C)</p> Signup and view all the answers

    What is an example of a preventive measure for human error?

    <p>Implementing root cause analysis teams (B)</p> Signup and view all the answers

    What do payers prefer providers to minimize in their diagnostic plans?

    <p>Number of patient visits and tests (B)</p> Signup and view all the answers

    Which of the following best describes risk management in healthcare facilities?

    <p>A function aimed at identifying and correcting potential risks (C)</p> Signup and view all the answers

    Which factor can contribute to communication failure in healthcare settings?

    <p>Minimized reports during shift changes (A)</p> Signup and view all the answers

    Which of the following is NOT a reason for human error mentioned in the content?

    <p>Overtraining of staff (C)</p> Signup and view all the answers

    What role do ergonomics play in preventing human error?

    <p>They improve work conditions and reduce stress (A)</p> Signup and view all the answers

    Which practice should be avoided when reporting an incident in healthcare?

    <p>Assuming blame or conclusions (D)</p> Signup and view all the answers

    What is the primary role of a nurse manager in risk management?

    <p>Identifying and reporting unusual occurrences (C)</p> Signup and view all the answers

    Which of the following is an example of a variance that should be reported?

    <p>Medication administration at the wrong time (D)</p> Signup and view all the answers

    What step is NOT part of the risk management process?

    <p>Blame staff for errors (C)</p> Signup and view all the answers

    What is a key strategy for implementing risk management in healthcare?

    <p>Purchasing insurance (D)</p> Signup and view all the answers

    How should unusual occurrences be shared according to best practices?

    <p>Only with those who need to know (C)</p> Signup and view all the answers

    What is an adverse reaction that could be considered a healthcare variance?

    <p>Unexpected allergic reaction to medication (D)</p> Signup and view all the answers

    Which of these actions is NOT a do when reporting incidents?

    <p>Make assumptions about the causes (C)</p> Signup and view all the answers

    What is the primary goal of treatment for conditions related to dystrophin deficiency?

    <p>Maintain optimal functioning (A)</p> Signup and view all the answers

    At what age is the complete loss of mobilization typically seen?

    <p>By age 12 (A)</p> Signup and view all the answers

    Which diagnostic method is primarily used to detect dystrophin genetic mutation?

    <p>Blood test (C)</p> Signup and view all the answers

    What treatment option can reduce respiratory issues for patients?

    <p>Corticosteroids (A)</p> Signup and view all the answers

    What is a significant marker of muscle wasting that is extremely high in the first few years?

    <p>Serum creatinine kinase (B)</p> Signup and view all the answers

    In which situation can a muscle biopsy be skipped during diagnostics?

    <p>If a family history of muscular dystrophy is known (C)</p> Signup and view all the answers

    What is a recommended noninvasive ventilation method for respiratory support?

    <p>Mechanical insufflation-exsufflation (MIE) (D)</p> Signup and view all the answers

    What type of support is emphasized for families involved in the care?

    <p>Comprehensive parental support (B)</p> Signup and view all the answers

    Flashcards

    Wound care irrigation

    Using solutions to clean and treat wounds.

    Hyperbaric oxygen therapy

    Using high oxygen pressure to treat infections.

    Sequestrectomy

    Removing dead bone from a wound.

    PMMA beads

    Medical beads releasing antibiotics into bone.

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    Bone grafts

    Replacing damaged bone with healthy bone.

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    Calcium Supplements

    1000 mg/day for women 19-59 and men 19-70 years old, safe upper limit is 2500 mg /day. Take it with water. Supplement for healthy bone structure.

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    Vitamin D Supplements

    800 international units/day for women and men over 50 (men over 71, 1200 mg daily). Crucial for calcium absorption.

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    Bisphosphonates

    Medication, like Alendronate (Fosamax), that inhibits bone resorption. Side effects include GI issues & jaw bone issues.

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    Bisphosphonate side effects

    GI issues (ulcers, irritation, swallowing difficulty) and potential osteonecrosis of the jaw.

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    Alendronate (Fosamax) administration

    Taken first thing in the morning, on an empty stomach. Requires a lot of water and no other foods or drinks for 30 minutes afterwards.

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    Psychosocial support

    Addressing anxieties and fears related to falls or other health concerns, involving family in caregiving and encouraging lifestyle changes.

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    Bone scans

    Used to evaluate bone health and response to treatments (e.g., bisphosphonates). Repeat scans may be needed.

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    Community resources

    Support services and assistance available to patients and their families for medication management and lifestyle changes related to bone health.

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    Becker Muscular Dystrophy

    A less severe form of DMD, characterized by reduced dystrophin, onset in adolescence or early adulthood, and rare survival beyond 20 years.

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    Duchenne Muscular Dystrophy (DMD)

    A severe form of muscular dystrophy resulting in complete loss of mobility by age 12, with rare survival past 20 years.

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    Diagnosis of DMD/Becker

    Involves physical exam, neurological exam, mobility evaluation, blood tests to check dystrophin mutations, prenatal testing (when applicable), genetic tests, and muscle biopsies if needed.

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    Serum Creatinine Kinase

    A blood test that measures muscle damage, high levels observed in the early stages of DMD before symptoms appear.

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    Treatment for DMD/Becker

    Lack a cure; instead, focus on maintaining function, preventing contractures, physical therapy, corticosteroids(short-term), and specialized respiratory/cardiac care (such as CPAP, BiPAP).

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    Dystrophin

    A protein crucial for muscle health; reduced levels are associated with Becker Muscular Dystrophy.

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    Clinical Trials for DMD

    Ongoing researches to find treatments and improved care for DMD/Becker patients.

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    Family Support for DMD

    Important aspect of care; includes emotional, financial, parental, and psychological support.

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    Healthcare Cost Drivers

    Factors that contribute to rising healthcare expenses. These include expensive treatments, administrative costs, and unnecessary procedures.

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    Provider-Payer Conflict

    Disagreements between healthcare providers and insurance companies regarding treatment plans, costs, and coverage.

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    Human Error in Healthcare

    Mistakes made by healthcare professionals due to factors beyond their control.

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    Root Cause Analysis

    A process of identifying the underlying causes of medical errors to prevent future occurrences.

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    Ergonomics in Healthcare

    Designing workspaces and equipment to minimize physical strain and improve safety for healthcare professionals.

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    Risk Management in Healthcare

    A system for identifying, assessing, and mitigating potential risks that could harm patients, staff, or visitors.

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    Risk Identification

    The process of identifying potential hazards or situations that could lead to harm in a healthcare setting.

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    Risk Evaluation

    Analyzing the likelihood and severity of identified risks to prioritize mitigation efforts.

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    Amputation types

    Amputation can be surgical or traumatic. Surgical amputations are elective, used as a last resort when other treatments fail. Traumatic amputations are caused by injuries like car accidents, work accidents, or combat injuries.

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    Common amputation risk factors

    People with diabetes, peripheral vascular disease, arteriosclerosis, infections, cancer, or dysfunction are at higher risk for needing an amputation.

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    Field care for amputation

    The first step in caring for an amputation is ensuring the patient's airway, breathing, and circulation (ABCs). If possible, the amputated part should be salvaged, cleaned, wrapped, sealed, and placed in a bag on ice. Preventing hemorrhage is crucial, but tourniquets should only be used in extreme cases.

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    Replantation goal

    The goal of replantation surgery is to restore the amputated limb and preserve its function and appearance.

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    Ischemia time

    Warm ischemia time refers to the time between injury and the amputated part being put on ice. Cool ischemia time refers to the time the amputated part is on ice until reaching the hospital. These times are crucial for replantation success.

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    Pre-amputation assessment

    Before amputation, a thorough health history should be taken, including the patient's subjective experience, like pain and feelings.

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    Amputation contraindications

    Amputation may not be suitable if replantation is unlikely, the patient is unwilling to comply with treatment, or there are other medical reasons.

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    Post-amputation care

    Patients need extensive education about compliance with rehabilitation, hospitalization, potential reconstructive surgeries, and follow-up care. Avoiding tight clothing, ice, and smoking is essential to maintain perfusion.

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    Variance Report

    A document that details any deviations from the expected or standard course of care, procedure, or event in a healthcare setting.

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    What is a Variance Example?

    Any unexpected or unusual occurrence during patient care, such as a patient injury, equipment malfunction, medication error, or violence.

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    Risk Management Process

    A systematic process to identify, analyze, and mitigate potential risks to patient safety and the healthcare organization.

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    Examples of High Risk Issues

    Specific situations or factors that pose a significant risk to patient safety, such as medication errors, falls, infections, and pressure ulcers.

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    Incident Report

    A formal document used to record details of any unexpected occurrence or event that may pose a risk to patient safety.

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    Nurse Manager's Role in Risk Management

    To identify and report potential risks, educate staff on safe practices, and contribute to a culture of safety and reporting.

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    What are the DO's for a Variance Report?

    Report facts completely and accurately, use direct quotes, identify names and ID data, chart location, date, and time, and mention equipment or medication involved.

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    What are the DON'Ts for a Variance Report?

    Don't include opinions about blame, assumptions, conclusions, or assign blame.

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    Study Notes

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    Description

    Test your knowledge on surgical interventions and wound care management techniques. This quiz covers important topics like PMMA beads, sequestrectomy, amputation, and the use of calcium and vitamin D supplements in treating wounds. Enhance your understanding of effective practices and medications in wound care.

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