1. Assessments
1.1. Assess Any Nerve Pain
1.1.1. Due to loss of sensory nerves
1.2. Pain Assessment
1.2.1. PQRST
1.3. Neurological Assessment
1.3.1. Level of consciousness
1.3.1.1. Orientation
1.3.1.1.1. Ability to follow/understand commands
1.4. Delirium Assessment
1.5. Peripheral Vascular Assessment
1.6. Lab Work
1.6.1. Blood work
1.6.1.1. Platelet Count
1.6.1.2. RBC
1.6.1.3. WBC
1.6.2. Hormones
1.6.2.1. Potassium
1.6.2.1.1. Serum lactate
1.7. In and Out
1.7.1. Assessing fluid output and intake
1.8. Vitals
1.8.1. Looking at BP - ensuring no hypotension
1.8.2. Oxygen Saturation
1.9. Urine Culture
1.10. Head-to-toe assessment
1.11. Assess nutritional status
1.11.1. Diet history
1.11.1.1. Food preference
1.11.1.2. Food resources
2. Nursing Role
2.1. Pain management
2.1.1. Continue to monitor for pain
2.1.1.1. Chest Pain is important to investigate
2.1.1.1.1. Flank/lower back pain important to investivate
2.1.2. Pain medications
2.2. Treat for shock
2.3. Stop bleeding
2.3.1. Elevate leg
2.4. Look for and monitor signs of VTE
2.5. Fluids
2.5.1. May be ordered lactated ringers or saline
2.5.2. Check for Any Edema
2.5.3. Urine Specific Gravity
2.6. Pneumatic antishock garment
2.7. Health History
2.7.1. Looking at trauma
2.7.1.1. Lifestyle
2.7.1.1.1. Possible Drug/Alcohol Use
2.8. Administration of Blood
2.9. Monitoring Weight Daily
2.9.1. Monitor weight at same time everyday
2.10. Wound Assessment
2.11. Promote Independence
2.11.1. Encourage self care
2.12. Early Detection
2.13. Monitor BP
3. Complications
3.1. Acute Respiratory Distress Syndrome
3.2. Acute Tubular Necrosis
3.3. Phantom Limb Pain
3.4. Multiple Organ Dysfunction Syndrome
3.5. Disseminated intravascular coagulation
3.6. Ineffective peripheral tissue perfusion
3.7. Pneumonia
3.8. Heart Attack
3.9. Slow Wound Healing
3.9.1. Infection
4. Risks
4.1. Continued bleeding
4.2. Blood clotting
4.2.1. Deep vein thrombosis (DVT)
4.3. Infection and Necrosis
4.4. Pulmonary Embolism
4.5. Self-care deficient
4.6. Ineffective Tissue Perfusion
4.7. Deficient Fluid Volume
4.8. Depression
4.8.1. Anxiety
4.9. Disturbed Body Image
4.9.1. What the loss or change means to the client
4.9.2. Fear of rejection from community
4.10. Diabetes
4.10.1. Hyperlipidemia
4.11. High Blood Pressure
4.12. Obesity
4.12.1. Lack of Exercise
4.13. Leg Ulcers
4.13.1. Leathery/brownish skin
4.13.1.1. Itchy Skin
4.13.1.1.1. Debridement possible because the ulcers can be recurrent
4.14. Insufficient Blood Flow
4.15. Gangrene
4.16. Jugular Venous Distension
5. Roles
5.1. Facilitator
5.1.1. Lyka
5.2. Co-Facilitator
5.2.1. Molly
5.3. Presenter
5.3.1. Anne
5.4. Researcher
5.4.1. Rebecca
5.5. Researcher
5.5.1. Natalija
5.6. Concept Map Creator
5.6.1. Annie
6. Treatment
6.1. Surgical Treatment
6.2. IV Fluid Administration
6.3. Regular Exercise to Promote Circulation
6.4. Elevate Affected Limbs
6.4.1. If Edema occurs Elevate Above Heart
6.5. Elastic Stockings
6.5.1. Compression stocks put on before pt gets up (less swollen)
6.6. Diagnostic Testing
6.7. Sterile Dressing for the limb post-op
7. Health Teaching
7.1. Discharge plan
7.1.1. Medications
7.1.2. Safety issues
7.1.2.1. Physical
7.1.2.1.1. Support
7.1.2.1.2. Equipment/ambulatory devices
7.1.2.2. Environmental
7.1.3. Living situation
7.2. Pain management
7.2.1. Medications
7.3. The Importance of Exercise
7.3.1. The Importance of Proper Nutrition
7.4. Care for the prosthetic
7.4.1. Cleaning
7.4.2. Teach ways to promote healing
7.4.3. Care for Stump
7.5. Post-Op Risks
7.6. Restrictions
7.6.1. Diet
7.6.2. Physical activity
7.7. Mental Health
7.7.1. Support Networks
7.8. How to use prosthetic
7.8.1. Physiotherapy
7.8.1.1. Rehabilitation
7.9. Compression stocking fit
7.9.1. Cannot wear forever
7.9.1.1. Replacement every several months
7.9.1.1.1. Pt on regular walking regime