Pediatric Nursing Demystified

Test Results

Radiograph: Dislocation displayed on radiography

Treatments

Traction prior to surgery to immobilize the femur

Surgical realignment using threaded screws to stabilize the joint

Nursing Interventions

Range-of-motion exercise following surgery to maintain muscle tone

Traction care:

• Assess the position and placement of bandages and straps.


• Assess neurovascular status.


• Treat pain.


• Assess the patient’s psychological response to the treatment.


• Assess the pin sites for infection, inflammation, and bleeding.


• Clean the pin site if ordered with a cotton-tipped sterile applicator
  soaked with normal saline or a saline/hydrogen peroxide solution.
  Apply antibacterial ointment if ordered.
  Teach the patient and parents about the dislocation and treatment.

Osteomyelitis

What Went Wrong?

Osteomyelitis is an infection of the bone or bone marrow commonly caused

byStaphylococcus aureusbacteria related to a skin infection, otitis media, or

an upper respiratory infection.

Signs and Symptoms

Irritability

Abrupt fever

Lethargy

Pain

Warmth

Rapid pulse

Swelling over affected area

Test Results

Increased white blood cell count.

Culture and sensitivity test to identify the bacteria and antibiotic.

Treatments

Prolonged intravenous antibiotic therapy using nafcillin or clindamycin

Physical therapy to restore muscle tone once the infection is reduced

CHAPTER 13/ Musculoskeletal Conditions^291