Balanced suspensipon
the counter traction is produced by devices (slings or splints) to support the fractured extremity off the bed while pulling ropes and weights
The clients body can move without altering traction
Bucks traction
attached to skin by a strap applied to lower leg, may be used prior to surgery of a fractured femur for alignment and pain controlled by reducing muscle spasms
- Keeps leg straight
- pulleys at end of bed
- Amount of weight: 5-7 pounds
- Position flat on back or with HOB <30 degrees
Russells traction
attached to one or both legs, uses a padded knee sling to suspend the limb, causing a pull of traction to double amount of weight applied; indicated in treatment of fractured femurs and knee and hip contractures
- Horizontal pull, pulling the leg lengthwise to prevent shortning
- Vertical pull lifting lower leg so it floats
- 5 pounds
Dunlap Traction
is a type of skin traction used primarily for:
- Supracondylar fractures of the humerus
- Pediatric elbow fractures
- It applies both vertical and horizontal pulling forces to the arm to help align the fracture and reduce swelling.
Horizontal Bucks
traction to humerus with vertical bucks traction for forearm to treat fractured humerus;
Weight Amount: 7-10 pounds
Bryants traction
vertical bilateral traction on legs for children less than 40 pounds with femur fractures
- use for 7-10 days only
- position flat on back with buttocks slightly off bed
Pelvic Traction
provided by a belt or girdle placed over the iliac crest and abdomen; attached to pulley weight system bilaterally
pull of traction is downward towards foot of bed, countertraction is maintained with a supine position and williams positioning of bed
for intermittent or continuous treatment of low back pain or to support separated pubic bones
cervical tractions
indicated for continuous or intermitted use in cervical muscle injuries
Care of client with traction
all weights are?
hanging freely and do not rest against or on bed or floor
Care of client with traction
If its a bucks traction
remove every two hours for skin care by carefully lifting up on weight and taking it off, then opening the boot
Care of client with traction
If skeletal traction
pin site care as ordered by MD
A fat embolism
occurs when fat droplets enter the bloodstream and travel to organs — most dangerously the lungs.
Fat embolisms normally occur after
signs and symptoms of a Fat embolism
difficulty breathing, shortness of breath, decreased mental acuity related to low arterial O2 level, respiratory distress, tachycardia, tachypnea, fever, cutaneous petechiae on neck, chest, upper arms, abdomen related to blockage of capillaries by fat
Petechiae
Treatment for a fat embolism
bed rest, oxygen, fluid replacement, vasopressors(increase blood pressure), and analgesics(pain releavers)
compartment syndrome
compression of nerves, blood vessels, and muscles inside a confined place, increased edema applies pressure on nerve endings causing pain, blood flow is reduced leading to ischemia(decreased blood flow to a tissue or organ)
If compartment syndrome is left untreated it will
lead necrosis within 4-6 hours