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facture - ✔✔Break in the continuity of a bone
Fracture is Most Common in : - ✔✔Patients who have experienced trauma
and older adults
Long Bone Early Complications - ✔✔Fat Embolus
DVT
Compartment Syndromea
Compartment syndrome - ✔✔occurs when swelling causes increased
pressure leading to decreased blood flow and potential muscle and nerve
damage... EMERGENT
For long bone fracture you should monitor - ✔✔Pulses and Temp.
Closed Fracture (SImple Fracture) - ✔✔Fracture is with in the skin, muscle
and fascia
Open Fracture (Compound Fx) - ✔✔Fracture penetrates the skin, muscle,
fascia
Transverse fracture - ✔✔Occurs at right angle of bone axis
,Linear fracture - ✔✔fracture occurs parallel to bone axis
Nondisplaced Fracture (stable Fracture) - ✔✔Broken ends of the bone
remain aligned
Displaced fracture (Compound) - ✔✔Broken ends of bone do not align
requires immediate attention.
Spiral - ✔✔Fracture Spirals around bone, common in sports and children
Green Stick - ✔✔bone fragments still partially join, children affected
communuted fracture - ✔✔break or splinter of the bone into more than 2
fragments, such as high-impact trauma (MVA)
Greenstick - ✔✔xray will show fracture on only one side but the other side
will look normal.
3 Stages of Healing - ✔✔-Inflammatory/Reactive Phase
-Reparative Phase
-Remodeling Phase
Signs and Symptoms of Compartment Syndrome - ✔✔Reduce Blood Flow
Increases Blood Pressure
Monitor Temperature of Limb
Monitor Distal Pulses
Tenderness
,Edema
SHOB
5 p's (pain, pulse, pallor, paranesthesia, paralysis)
Fat embolus can form when - ✔✔can form when a long bone is fractured
and fat cells from yellow bone marrow are released into the blood.
Fat embolus can lead to - ✔✔PE (signs include increased heart rate,
increased respiratory rate, SHOB)
Hip Fx what should the nurse do? - ✔✔Teach:
Do not cross Legs
Use Abduction Pillow
Roll patient when moving or changing brief
Elevate HOB to 90 degrees
Risk factors of Hip Fracture - ✔✔Age
Female
History of Osteoporosis
Traumatic Hip Fx - ✔✔-One leg will be shorter
-acute pain
-deformed
-xray will not show fracture
, Most common type of hip fracture - ✔✔intertrochanter
Complication of Hip fracture that can lead to PE - ✔✔Fat Emboli (CP
increased HR and RR, Hypoxia)
Strains - ✔✔Stretching or tearing of tendons
Sprain - ✔✔Stretching or tearing of ligaments
Contusion - ✔✔Swollen or discolored Muscle Injury
Treatment of Strains, Sprains and Contusions - ✔✔RICE
Rest
Ice
Compression
Elevation
POLICE
Protection
Optimal
Load
Ice
Compression
Elevation