What pre-operative intervention is essential to prevent post-operative infection in a patient undergoing amputation?
Administering pre-operative antibiotics
Providing pre-operative analgesia
Ensuring proper patient positioning
Educating the patient about post-operative exercises
The Correct Answer is A
Administering pre-operative antibiotics is essential to prevent post-operative infection in a patient undergoing amputation. Prophylactic antibiotics are often given before the surgical procedure to reduce the risk of infection at the surgical site and promote successful wound healing.
b. Providing pre-operative analgesia: Providing pre-operative analgesia is important for pain management, but it is not directly related to preventing post-operative infection.
c. Ensuring proper patient positioning: Ensuring proper patient positioning is crucial for the surgical procedure's success and patient safety, but it is not directly related to preventing post-operative infection.
d. Educating the patient about post-operative exercises: Patient education about post-operative exercises is important for rehabilitation, but it does not directly prevent post-operative infection. Proper wound care and infection prevention protocols are more relevant to reducing the risk of infection.
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Correct Answer is C
Explanation
The primary goal of rehabilitation after amputation is to help the patient achieve the highest level of mobility and independence possible with the use of assistive devices and prosthetics. While rehabilitation can improve function and quality of life, it may not fully restore the limb to its pre-amputation function.
a. To restore the limb to its pre-amputation function: While rehabilitation aims to improve function, restoring the limb to its pre-amputation function is not always feasible. Amputation involves the permanent removal of a limb or body part, and some limitations may persist.
b. To minimize the use of assistive devices: While rehabilitation may help the patient adapt to using assistive devices, the goal is not necessarily to minimize their use. Assistive devices can greatly improve mobility and independence for amputees.
d. To eliminate all residual pain and discomfort: While rehabilitation can help manage pain and discomfort, eliminating all residual pain is not always achievable. The goal is to optimize the patient's function and well-being while addressing pain and discomfort as effectively as possible.
Correct Answer is A
Explanation
In severe cases of diabetic neuropathy, where peripheral nerve damage leads to non-healing ulcers, infections, and gangrene, amputation may be considered as a lifesaving measure. Removing the affected limb can prevent the spread of infection and potentially save the patient's life.
b. Chronic obstructive pulmonary disease (COPD): COPD is a chronic respiratory condition that primarily affects the lungs. It is not an indication for amputation.
c. Bone fracture with non-union: A bone fracture with non-union refers to a fracture that fails to heal properly. While it may require surgical intervention, it does not typically lead to amputation unless there are severe complications.
d. Malignant bone tumor: Malignant bone tumors may require surgical resection, but amputation is usually a last resort and only considered when the tumor cannot be safely removed through other means.
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