Amputation

By mwagues9u03, Nov 2011

Subjects: 1 nac

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surgical removal of limb	amputation
indications for amputation	circulatory impairment traumatic and thermal injuries malignant tumors uncontrolled infection (gangrene or osteomyelitis) congenital disorders
diabetics need to be taught ________ because of loss of sensation	meticulous foot care
diagnostic studies for amputation	history and pe ankle-brachial index- measures pressure in limbs (<1 is normal) arteriography, venography, doppler studies
allows time to asses the patient's general health, able to monitor other diease processes, time to instruct patient and family on the need for surgery as well as successful rehab	elective amputation
management is physically and emotionally more complicated	emergency amputation
two types of amputation	elective and emergency
goals of amputation	preserve length of extremity preserve function pathologic tissues
creates a weight bearing residual limb or stump suture line will not be where the weight bearing occurs	closed amputation
leaves a surface on the limb that is not covered by skin, indicated when the infection is so bad that they need to leave it open to heal. once infection is gone it can be closed	open amputation

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