BST Traction PDF
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Manuel S. Enverga University Foundation
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Summary
This document describes several types of traction, including Balance Skeletal Traction (BST), providing information pertaining to indications, purposes, application procedures, and nursing care considerations. It details the materials needed, the patient position and important steps in applying tractions. It also touches on potential complications and nursing care requirements.
Full Transcript
BALANCE SKELETAL TRACTION 5 SLINGS C2 WIDER & LONGER, 3 Traction- act of pulling and drawing NARROWER & SHORTER) which is associated with counter 5 SAFETY PINS/PAPER CLIPS traction 3 PULLEYS WEIGHTS Ind...
BALANCE SKELETAL TRACTION 5 SLINGS C2 WIDER & LONGER, 3 Traction- act of pulling and drawing NARROWER & SHORTER) which is associated with counter 5 SAFETY PINS/PAPER CLIPS traction 3 PULLEYS WEIGHTS Indication: TRACTION WEIGHT - 10% For the affection of hip and OF PATIENT'S BODY WEIGHT femur Suspension Weight- 50% of the traction weight Purposes: STEINMAN'S PIN HOLDER SUPPORT PREVENT OR FOOT BOARD CORRECT DEFORMITY OVERHEAD TRAPEZE IMMOBILIZATION REDUCE FRACTURE Things to Consider in Sling REDUCE MUSCLE PAIN AND Application SPASM NIPS2 MAINTAIN GOOD BODY NOT TOO TIGHT AND NOT ALIGNMENT TOO LOOSE ONE (1 INCH DISTANCE IN Application of Traction BETWEEN THE SLINGS TO VERIFY/CHECK DOCTOR'S PROMOTE AERATION OR ORDER TO KNOW THE PATIENT, VENTILATION THE SITE OF AFFECTION AND POPLITEAL AREA AND TO CHECK THE WEIGHTS TO HEEL PORTION SHOULD BE FREE BE USED FROM ANY SLINGS INFORM THE PATIENT ABOUT SMOOTH AND RIGHT SIDE THE NEED AND PURPOSE OF SHOULD COME IN CONTACT WITH THE PROCEDURE TO ALLAY THE PATIENTS SKIN TO AVOID PATIENTS ANXIETY AND TO FRICTION AND IRRITATION ELICIT COOPERATION TWO 2) LONGER AND WIDER SLINGS FOR THE THIGH Preparation PORTION (THOMAS) AND THE IDENTIFY THE DIFFERENT PARTS THREE (3) FOR THE LEG AREA OF THE ORTHOPEDIC BED (PEARSON) BALKAN FRAME: 4 VERTICAL BARS Principle of Traction 2 HORIZONTAL BARS THE PATIENT SHOULD BE IN 1 DIAGONAL BAR DORSAL RECUMBENT POSITION 2 CROSS BAR (STRAIGHT OR PROVIDE COUNTER TRACTION - CURVED) THE PATIENTS BODY WEIGHT FIRM MATTRESS WILL SERVE AS THE COUNTER FRACTURE BOARD TRACTION THE LINE OF FULL SHOULD BE Equipments needed for BST IN LINE WITH DEFORMITY THOMAS SPLINT 1ST PULLEY SHOULD BE IN PEARSON'S ATTACHMENT LINE WITH THE THIGH REST SPLINT 2ND PULLEY SHOULD BE 3 CORD/ROPES/SASHES THIGH, IN LINE WITH THE KNEE TRACTION AMD SUSPENSION 3RD PULLEY SHOULD BE ROPES) IN LINE WITH THE 1SR & 2ND PULLEYS SKELETAL TRACTION Avoid for the Traction 1. Crutchfield Tong WORK - For cervical spine affection WEIGHT SHOULD BE HANGING FREELY 2. Halo Traction OBSERVE FOR WEAR AND TEAR - With 4 pin sites; also, for cervical spine OF THE ROPES AND BAGS affection ROPE SHOULD BE RUNNING 3. Halo Femoral Traction ALONG THE GROOVE/CANAL OF - For Scoliosis THE PULLEY 4. Balance Skeletal Traction KNOTS SHOULD BE AWAY FROM - For affection of the hip and femur THE PULLEY 5. Halo Pelvic Traction Nursing Care of Patient's with Traction - For scoliosis ASSESSMENT 6. 90 - 90 ° Traction PROVISION OF GENERAL - Proximal femur affection (specifically COMFORT sub-trochanteric area) SKIN CARE 7. Over-Head Traction CHANGING OF LINEN, - Pin is inserted in the olecranon; For SLINGS supracondylar fracture of the humerus PROVIDE BEDPAN AS NEEDED PERINEAL CARE SKIN TRACTION (ADHESIVE) ASSESS FOR POTENTIAL COMPLICATION 1. Zero Degree Traction PROVISION OF EXERCISE - For shoulder dislocation, humeral neck ROM WITH THE USE OF fracture, surgical neck fracture TRAPEZE 2. Dunlop Traction DEEP BREATHING - For supracondylar fracture of the EXERCISES STATIC QUADRICEPS humerus EXERCISES 3. Bryant's Traction TOES PEDAL EXERCISES - For 2 years old below; For congenital hip dislocation, fracture of the hip and Nursing Care femur NUTRITIONAL STATUS 4. Buck's Extension Traction PROVISION OF SUPPORTIVE - For fracture of the hip, hip dislocation, THERAPY fracture of the femur (Place a pillow SPIRITUAL ASPECT DIVERSIONAL ACTIVITIES underneath the leg, free the heel part from the pillow) Potential Complication PNEUMONIA SKIN TRACTION BEDSORE (NON-ADHESIVE) URINARY TRACT INFECTION CONSTIPATION 1.Head Halter Traction PIN SITE INFECTION - For cervical spine affection (Place CONTRACTURES patient on semi-fowlers position; Must use a curve bar, clamp, and pulley) 2. Cotrel Traction - For scoliosis; combination of head halter traction and pelvic-girdle traction 3. Hammock Suspension - For pelvic affection 4. Pelvic Girdle Traction - For HNP. low back pain (Place patient on a Trendelenburg position, Must use a curve bar, 2 weight bags. Patient must be on complete bed rest, with 2 - 3 pillows underneath the thigh) 5. Foam Traction - With same indication with Buck's Extension; Modified buck's extension traction using commercially prepared foam. 6. Bohler Braun Splint - For tibial plateau fracture (Pin is inserted at the calcaneal bone) SPECIAL TRACTION 1. Boot Cast Traction - For patient with hip and knee contracture (ex. post-polio with hip and knee contracture)