Amputation, GI, GU
Amputation
• Medical Management or Surgery
–
–
–
–
–
Arterial Insufficiency
Venous Insufficiency
BKA
AKA
Ankle and Foot Amputations
– U/E Amputations
• Course in hospital
– Elective → OR → General Floor (Ortho or
MedSurg
– Sidelying/prone stretching and good for
extensor strength
• Precautions/Contraindications
– Universal Precautions
– Ambutation at level of the foot: Weight
bearing status of foot (can they place
weight through the heel
– Condition of non-surgical extremity
Cholecystectomy (Choley)
• Medical Management or
Surgery
– Cholecystectomy
• Course in hospital
– Elective → OR → 24
hour admit
• Precautions/Contraindica
tions
– Vital signs
– Pain levels
Renal Failure
• Medical Management or Surgery
– Acute (trauma, meds, infection) and Chronic (DM, HTN) Renal Failure
• The kidneys play key roles in body function, not only by filtering the blood and
getting rid of waste products, but also by balancing levels of electrolytes (Na & K)
in the body, controlling blood pressure, and stimulating the production of red blood
cells.
• Pre-Renal: Decreased blood supply to the kidney, low blood volume, dehydration,
diuretics
• Renal causes : Sepsis, UTI, Meds, Rhabdomyolysis, Myeloma,
Glomerulonephritis
• Post-Renal: Obstruction of the bladder or ureters, BPH, HTN, kidney stones
– Hemodialysis and Peritoneal Dialysis
• Course in hospital
– Emergency → General Floor
– Dialysis on any unit
• Precautions/Contraindications
– BP issues: usually very low post dialysis
– Usually no patient contact during dialysis