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Amputations

Amputation answers. Amputations. Definitions Levels of Amputations *Goal = circulation, extremity length & function Diagnostic Studies. Open of Guillotine Required if infection present Late closure Closed or Flap Produce weight bearing stump. Nursing diagnosis Pre-op Post-op

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Amputations

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  1. Amputation answers Amputations Definitions Levels of Amputations *Goal = circulation, extremity length & function Diagnostic Studies

  2. Open of Guillotine Required if infection present Late closure Closed or Flap Produce weight bearing stump Nursing diagnosis Pre-op Post-op Complications: hemorrhage, infections Pain Impaired mobility Types of amputations

  3. Interventions • Pre-op • physical and mental preparations • prepare for phantom pain • Post-op • Hemorrhage • Pain and phantom pain • Elevate first 24-48 hours • Prevent infections • Prevent contraction, prone position • Delayed or immediate fitting

  4. Delayed Ace wrap Potential hemorrhage, swelling Stitches out at 2-3 wks Temporary prosthesis with full wt at 6 wks Immediate Total contact, rigid dressing Compression dec. edema Early wt. bearing inc. chance for Infection Post-op Care: Immediate and Delayed Prosthesis Fitting

  5. Test Yourself! Amputation home page • Which crutch-walking gait should the B-K amputee with a prosthesis use? • a. swing-through gait • b. 3 point • c. 4 point • d. swing-to gait

  6. Teaching • Stump bandaging • Wrap distal to proximal • Produce cone shape • Stump care • Stump sock, stump shrinker • Keep clean The Goal: cone-shaped, well-healed stump!

  7. Weight Control Temperature control Muscle strengthening Positioning Hydraulic prosthesis Teaching

  8. Criteria Interventions Keep body part Plastic bag, /ice Elevate stump No tourniquet Saline dressing Post-op Care Adequate circulation: arterial/venous Use of leeches Prevent infection Prevent platelet agglutination Psychological support Replanation

  9. What initial action should be taken with traumatic amputation?

  10. replantation What criteria determine the viability of the severed part with amputation?

  11. Indications for Use of Leeches • Useful on tissue with impaired circulation • dusky, blue skin color • brisk capillary return • rapid, dark pinprick response • Contraindicated with impaired arterial circulation

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