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Orthopedic Trauma Complications

Kelly Cassana, RN, BSN, ONC

While taking care of patients on a daily basis, your patient can encounter many complications. Take a moment to stop and think about each of your patients today...are they having complications now, or can we prevent them from happening? This puzzle will help to remind you what to assess and monitor for in the orthopedic truama patient and ways to prevent those complications.

UrinaryRetention To be performed q shift when a patient has an external fixator.
Atelectasis Almost all of our patients have this. We are constantly playing 'catch-up'.
Nausea Patients may experience __________, or feel as if this is the 'end of the world'.
Decubitus May be used to prevent foot-drop on a patient with an external fixator.
DeepVeinThrombosis A bladder scanner can be used to assess for this.
Falls All of our patients are at risk for _____. Give them a green bracelet.
Pain If a patient aspirates before, during, or after surgery, __________ can develop.
Infection This can occur when the patient remains in the same position for too long.
Hemoglobin If a patient has a history of MRSA, place them in _________.
PinCare Can be placed on the bed to help protect the skin.
Arthritis Many of our patients with fractures may have this in their joints in the future.
Constipation The patient may be hypoxic, tachycardic, have chest pain, and may just feel 'restless'.
CompartmentSyndrome Prescribed for post patients pre
Bactroban Common side-effect of anesthesia and pain meds.
PulmonaryEmbolism Immobility, narcotics, and anesthesia may cause this.
ChlorhexadineWipes This may happen when there is too much swelling after a fracture or surgery.
Lovenox Should be used on affected extremities to assist with elevation.
Pneumonia This can occur when patients do shallow breathing or post-op.
Pillows Placed in the nares, should be used pre-op and post-op.
Exfixshoe Patients use this to expand their lung volume.
AirMattress A positive 'Homan's sign' can indicate your patient has a ______________.
Depression If this value is low, some doctors will order a blood transfusion.
Isolation These wipes help to prevent infection after surgery.
Incentive Spirometer All surgeries come with this risk. We monitor vital signs
SCD Can be placed on the lower extremities to help with circulation.

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