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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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Presentation Transcript
amputations

Amputation answers

Amputations

Definitions

Levels of Amputations

*Goal = circulation, extremity length & function

Diagnostic Studies

types of amputations
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
interventions
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
post op care immediate and delayed prosthesis fitting
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
test yourself
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
teaching
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!

teaching7
Weight Control

Temperature control

Muscle strengthening

Positioning

Hydraulic prosthesis

Teaching
replanation
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
slide11

replantation

What criteria determine the viability of the severed part with amputation?

indications for use of leeches
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