Why is it important to identify pre-existing medical conditions and allergies in a patient scheduled for amputation?
To determine the patient's ability to perform post-operative exercises
To identify potential complications during the surgical procedure
To tailor the prosthetic fitting and training
To assess the risk of post-operative infection and complications
The Correct Answer is D
Identifying pre-existing medical conditions and allergies is essential to assess the risk of post-operative infection and complications in a patient scheduled for amputation. Certain medical conditions and allergies can impact wound healing and increase the risk of surgical complications. By knowing the patient's medical history and allergies, the healthcare team can take appropriate measures to prevent potential problems and improve the patient's overall surgical outcome.
a. To determine the patient's ability to perform post-operative exercises: While identifying pre-existing conditions may provide some insight into the patient's functional abilities, it is not the primary reason for identifying medical conditions and allergies in this context.
b. To identify potential complications during the surgical procedure: Identifying pre-existing conditions is not primarily for identifying potential complications during the surgery itself. Pre-operative assessments and evaluations are conducted to ensure the patient's safety during the surgical procedure.
c. To tailor the prosthetic fitting and training: Identifying pre-existing conditions and allergies can be relevant for prosthetic fitting and training, but it is not the primary reason for identifying them.
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Related Questions
Correct Answer is C
Explanation
Peripheral vascular disease, which involves decreased blood flow to the extremities, is a common indication for amputation. In severe cases, where blood flow cannot be restored, amputation may be necessary to prevent further complications. It is important to address the underlying vascular issues to avoid the risk of gangrene and potential spread of infection.
a. Chronic low back pain: Chronic low back pain is not an indication for amputation. It is usually managed through conservative treatments such as physical therapy, medications, or injections.
b. Osteoarthritis of the knee: Osteoarthritis of the knee may cause pain and mobility issues, but it does not typically lead to amputation. Treatment for osteoarthritis includes pain management, physical therapy, and, in some cases, joint replacement surgery.
d. Minor soft tissue injury: Minor soft tissue injuries do not require amputation. They are usually treated with wound care, rest, and possibly antibiotics if there is an infection.
Correct Answer is A
Explanation
Infection at the amputation site is a potential pre-operative complication that may occur before the actual surgery. The presence of infection at the surgical site can increase the risk of post-operative complications, delay the surgery, and affect wound healing. Proper pre-operative assessment and management of infections are crucial to ensure a successful amputation procedure.
b. Post-operative pain management: Post-operative pain management is a consideration after the surgery, not a pre-operative complication. It involves planning for pain relief strategies to provide comfort and promote healing after the amputation.
c. Surgical wound dehiscence: Surgical wound dehiscence refers to the separation or opening of the surgical wound, which can occur after the surgery, not before. Proper wound care and surgical techniques are essential to prevent wound dehiscence.
d. Prosthetic fitting and training: Prosthetic fitting and training are part of the post-operative care, not pre-operative complications. After the amputation, the patient will be evaluated for the appropriate prosthetic device, and training will be provided to adapt to using it effectively.
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