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A 12 year old patient fell and injured their arm at a summer
camp. The camp nurse notices that the child is in significant
pain, the arm is hot to touch, swollen, and mobility is limited.
Why might a nurse provide ice and try to manage the
inflammation? Select all that apply.
A. The child is in pain.
B. There is a risk the bone will begin to heal incorrectly.
C. She shouldn't do anything to manage the inflammation and
just get the patient to a hospital as soon as possible.
D. She doesn't want the parent to worry about their child's
discomfort.
A& B
Pain management is a reason to manage inflammation.
Incorrect healing is counterintuitive to the homeostatic purpose of
inflammatory response. The patient may need to have their bone
re-set which will cause further pain and inflammation.
,Pain associated with inflammation typically begins in what phase?
Vascular phase (edema + inflammatory mediators in exudate)
What are some age-related changes related to inflammation?
-Reduced skin barrier, and less collagen and subcutaneous fat =
greater chance of injury or infection
-Atrophy of capillary beds -> tissue hypoxia -> slow wound healing
-Reduced inflammatory response as a result of disease, such as
diabetes mellitus and cardiovascular disease
May experience greater/longer period of inflammation with
worse healing (inflammation will last longer)
Why is it dangerous for a patient with systemic inflammation to go
into shock? (or vice versa)
Inflammatory mediators release
coagulants Can lead to:
-diffuse endovascular injury
-organ damage
-death
, List risk factors for inflammation
-Age (young and old)
-Uninsured or underinsured (higher risk of adverse or chronic
inflammation)
-autoimmune disease
-pathogen exposure (illness or not)
-smoking
-repeated trauma
-hospitalization (pathogen exposure)
Atherosclerosis
Formation of plaques in large and medium-sized arteries
Why would a nurse treat acute inflammation?
-pain/discomfort
-improper healing
-risk of chronic inflammation
-adverse systemic affects