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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.

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12 13                            
  17               18
20   21                                    

3.Almost all of our patients have this. We are constantly playing 'catch-up'.
5.Many of our patients with fractures may have this in their joints in the future.
9.Patients may experience __________, or feel as if this is the 'end of the world'.
10.To be performed q shift when a patient has an external fixator.
12.Can be placed on the bed to help protect the skin.
15.All of our patients are at risk for _____. Give them a green bracelet.
21.This may happen when there is too much swelling after a fracture or surgery.
22.Can be placed on the lower extremities to help with circulation.
23.Common side-effect of anesthesia and pain meds.
24.May be used to prevent foot-drop on a patient with an external fixator.
25.If this value is low, some doctors will order a blood transfusion.
1.Should be used on affected extremities to assist with elevation.
2.These wipes help to prevent infection after surgery.
4.If a patient has a history of MRSA, place them in _________.
6.Patients use this to expand their lung volume.
7.A positive 'Homan's sign' can indicate your patient has a ______________.
8.A bladder scanner can be used to assess for this.
11.The patient may be hypoxic, tachycardic, have chest pain, and may just feel 'restless'.
13.All surgeries come with this risk. We monitor vital signs & administer preventative antibiotics.
14.Immobility, narcotics, and anesthesia may cause this.
16.Placed in the nares, should be used pre-op and post-op.
17.This can occur when the patient remains in the same position for too long.
18.This can occur when patients do shallow breathing or post-op.
19.If a patient aspirates before, during, or after surgery, __________ can develop.
20.Prescribed for post patients pre & post-op to prevent blood clots.

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