Podcast
Questions and Answers
A patient with a cast on their lower leg reports a persistent, severe pain that is not relieved by prescribed analgesics. Which of the '7 Ps' of orthopedic assessment is MOST directly represented by this situation?
A patient with a cast on their lower leg reports a persistent, severe pain that is not relieved by prescribed analgesics. Which of the '7 Ps' of orthopedic assessment is MOST directly represented by this situation?
- Pallor
- Pain (correct)
- Puffiness/Pressure
- Paresthesia
In the context of immobilization and its effects on the body, which of the following BEST exemplifies a systemic effect?
In the context of immobilization and its effects on the body, which of the following BEST exemplifies a systemic effect?
- Decreased range of motion in the immobilized joint.
- Loss of muscle mass in the affected limb.
- Cardiovascular deconditioning due to reduced physical activity. (correct)
- Development of a pressure injury under a cast.
A patient who recently underwent abdominal surgery is being discharged. The physician orders an abdominal binder. What is the PRIMARY purpose of this intervention?
A patient who recently underwent abdominal surgery is being discharged. The physician orders an abdominal binder. What is the PRIMARY purpose of this intervention?
- To support weakened abdominal muscles. (correct)
- To reduce the risk of post-operative infection.
- To promote circulation to the abdominal area.
- To limit patient mobility and prevent falls.
Following an acute ankle sprain, a patient is instructed to use the RICE protocol. What does the 'I' in RICE primarily aim to achieve?
Following an acute ankle sprain, a patient is instructed to use the RICE protocol. What does the 'I' in RICE primarily aim to achieve?
A patient with chronic osteoarthritis in their knees is seeking non-pharmacological methods to manage their symptoms at home. Which of the following applications of hot or cold therapy is MOST appropriate for this patient?
A patient with chronic osteoarthritis in their knees is seeking non-pharmacological methods to manage their symptoms at home. Which of the following applications of hot or cold therapy is MOST appropriate for this patient?
Flashcards
The 7 "P"s of Neurovascular Assessment
The 7 "P"s of Neurovascular Assessment
Pain, Pallor, Paresthesia, Pulselessness, Polar Temperature, Paralysis, Puffiness/Pressure.
Systemic vs. Local
Systemic vs. Local
Systemic: Affecting the entire body or multiple systems. Local: Affecting a specific area or part.
Types of Immobilization Devices
Types of Immobilization Devices
Splints, casts, slings, binders, traction, external fixators.
Use of Abdominal Binder
Use of Abdominal Binder
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When to Use Cold Application
When to Use Cold Application
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Study Notes
- There are 7 "P"s to assess in a patient
The 7 "P"s
- Pain: Pain is not relieved by medication or is disproportionate to the injury
- Pallor: Skin appears pale, white, or blanched and may have a waxy look; capillary refill is absent
- Paresthesia: Abnormal sensations such as "pins and needles" or numbness
- Pulselessness: Absence of pulses in the extremity (a late symptom)
- Polar Temperature: The limb is cold to the touch (a late symptom)
- Paralysis: Patient is unable to move the limb (a late symptom)
- Puffiness/Pressure: Presence of edema and swelling
Systemic vs. Local Effects
- Systemic effects involve the entire body system, including cardiovascular, respiratory, GI tract, musculoskeletal, integumentary, and psychological aspects
- Local effects include pressure injuries, impaired joint function, and loss of bone or muscle mass in the affected limb
Immobilization Devices
- Splints
- Casts
- Slings
- Binders
- Traction
- External Fixators
Abdominal Binders
- Abdominal binders support abdominal muscles weakened by surgery, repeated pregnancies, or inactivity
Limb Temperature
- A cold and clammy limb is an abnormal finding
Heat Application
- Heat application is commonly used for musculoskeletal problems like joint stiffness, arthritis, contractures, lower back pain, and sprains
- Heat causes blood vessels to dilate, increasing blood flow
Cold Application
- Cold application is used for fractures, sprains, to prevent swelling, and to cool the body during a fever
- Cold causes blood vessels to constrict, decreasing blood flow
RICE Acronym
- RICE stands for Rest, Ice, Compression, and Elevation
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