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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/Contraindications– 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