OrthoOperatResp

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Author:
madelynlee
ID:
70847
Filename:
OrthoOperatResp
Updated:
2011-03-05 12:13:00
Tags:
orthopedics perioperative respiratory
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Description:
Orthopedics, Perioperative, Respiratory 1/31
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  1. osteoporosis T-score
    less than -2.5 std dev
  2. SaO2, PaO2, PaCO2, PEFR, HR, RR w/ asthma attack needing emergency room treatment (i.e. red flags)
    • SaO2 = less than 90%
    • PaO2 = less than 60%
    • PaCO2 = greater than 45
    • HR = greater than 120
    • RR = greater than 30
    • PEFR = less than 100
  3. resp acidosis conditions
    • COPD
    • sedative overdose
    • chest wall abn (obesity)
    • severe pneumonia
    • atelectasis
    • resp muscle weakness
    • Guillain Barre
    • hypoventilation
  4. primary osteoarthritis is caused by
    • cause unknown
    • wear and tear
  5. normal ABG PaO2
    80-100 mmHg
  6. acidosis/alkalosis death cutoff values
    • pH = 6.8 or less (acidosis)
    • pH = 7.8 or more (alkalosis)
  7. hip # affects where
    proximal 1/3 of femur
  8. idiopathic arthritis other name
    primary arthritis
  9. ortolani test desc.
    limited hip abduction test for DDH
  10. barlow test desc.
    adduct leg in and up (bent knee) toward chest; hear click for DDH
  11. CNS symptoms of FES
    • memory
    • restlessness
    • confusion
    • increased temp
    • headache
  12. primary trigger for malignant hyperthermia
    succinylcholine
  13. symptoms of compartment syndrome
    • paresthesia (numbness/tingling)
    • pain distal to injury, not relieved w/ pain measures
    • pallor, coolness, loss of color
    • paralysis (late sign)
    • pulselessness (late sign)
  14. DEXA scan does what, to where
    bone density measurement in spine, hips, forearm
  15. congenital osteo disorders (3)
    • clubfoot
    • dev'tal dysplasia of the hip DDH
    • duchenne muscular dystrophe DMD
  16. unrestricted vs. semirestricted vs. restricted surgical dept.
    • unrestricted = street clothes ok
    • semirestrct = surgical attire w/ head covers
    • restricted = masks required
  17. osteomyelitis - do which labs and tests (7)
    • CBC
    • CRP (C-reactive protein)
    • ESR
    • anaerobic cultures
    • aerobic cultures
    • bone aspiration
    • radiograph
  18. why is there usually no compensation w/ acute respiratory alkalosis
    • b/c must treat cause of hypoxemia
    • there isn't enough time for compensation to occur (which is causing the hyperventilation in the first place)
  19. what do you do for child w/ DDH who has adduction contracture
    bryant skin traction
  20. impt intervention to prevent DMD complications
    repos. frequently for resp and circulation
  21. how ctrl/prevent edema in pts w/ casts
    ice
  22. most common septic arthritis sites
    • hip
    • knee
  23. how long does hip spica cast stay on
    2-4 months
  24. 1st s/s of "silent disease"
    • back pain
    • spontaneous #
    • loss of height
    • (silent disease = osteoporosis)
  25. possible causes of post-op delirium
    • hypoxia (#1 to assess)
    • alcohol w/drawal
    • electrolyte abnormalities
    • drug effects
  26. compartment sydrome faciotomy
    • surgical decompression
    • left open to allow space for drainage of fluid
    • infection possible
  27. assess how often osteomyelitis pt post-op
    every 4 hrs
  28. compartment syndrome - ice?
    no ice b/c vasoconstriction
  29. for asthma exacerbations, start w/ what med and then add what med, and then what
    • 1- corticosteroid inhaler
    • 2- add bronchodilator if needed (only for acute)
    • 3- prednisone (only for short period of time)
  30. RN does what re: DVT post #
    • compression gradient stockings
    • sequential compression devices
  31. for what age child w/ DDH do you treat it by starting off w/ closed reduction (not immediate open reduction)
    6 to 18 months
  32. above what temperature post-op should you be concerned about atelectasis or resp congestion
    100.4 degrees F

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