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Many people experience bone breaks fractures etc regardless of any risks However some
thingsthatmakesomeonemore@riskarei.Advancingage osteoporosis chronic illnesses
,
,
.
.
,
,
,
,
and
.tn/ngs1ikepoorhearingorvision.ThemainSYMPt0MwiHbe
pain
More
specifically to fractures / breaks :
localized edema
-
-
assessment
.
extremity shortening
Deformity
-
crepitus
-
istnecep 's
:
Pain
Paresthesia
Pallor
Pulselessness
Paralysis
Poikilothermic
t.ME
Neurovascular assessment isoncialbecavseyouwantto
determine ifthereisbloodflowtothe extremity Always compare
:
the
affected sidetothe unaffected side
Before any other
alignment
management
,
.
closed reduction
isdonetogetthepartbaok.in
.
management
-
Purpose
SKIN
are
-
keeps
-
:
:
Skllltdltorceappliedbyweightithat
weights that
tovekro.boot.gs/-raps.ete.areattachedbyarodtha1- passes
force applied by
attached
through the
shorter term
Ex :
Bvxtractionoftnehip
↳ Avoid
wrinkling
bone
longer-term
Priorities : pinsitecare
priorities :
↳
traction
thebodypartimmobilitedralignedtoreducepainpriorto surgery
-
-
:
of any
bandage
Removebootstoassessskin
↳ Assessircleanq 8hr5
↳
Monitorforanysignsof infection
skeletal : pins inserted into bone
Bucks : uses straps
management
-
casts
-
fiberglass
Plaster
less expensive achieves abetter
mold
Lighter weights provides immediate
-
mobilization
Con Takes
uptothhovbtoheal
:
↳
Needtoonlyhandlew / the palms
NOT
fingers .to
could
cause
avoid
.
that
denting
Con : More difficult tomoktsoitcan
onlybevsedforsimple fractures
pressure ulcers
COMPLICATIONS
compartment syndrome
infection
Main symptom
cast
:
Hotspot under the
Main intervention
Main
symptom : severe pain not relieved
bymects
:
cvtasqvareout
ofthecastwherethespotis
Main intervention : Bivalvethecastto
relieve the pressure
management
twitter.eu#oalhlfiwxa*iv*axvsedincomph'
-
coated fractures
Pinsareinsertedintothebone
andthenattauhedtoanexternalrod
Priority Pincare
:
↳ clean
w/ chlorhexidine
↳ Assess
98 12hr5
-
↳ Nvcnecksa 2- 4hr5
:
management
-
care for this is similar to care for a hip
PREOPERATIVE
things like
-
-
-
:
includes
all of the
inattentive *www.tihemix
replacement
regular teaching
,
but
specifically should include
:
Are there stairs in the house
these are essentially fall risk precautions
Remove any rugs
ensure proper lighting
as
POSTOPERATIVE
☒
the
pt
focusing
will be
devices and
interventions
moving
on the use
have to do with
,
slower and
of their assistive
walking
positioning
9
9
L
9
e
prevent internal rotation
wedge pillow
to
of the hip
It will look
:
picture above
a
.
something
like the
however YOU can also use
rolled pillow in between the legs
-
The pt needs to
-
-
prevent 90° flexion
raised toilet seats
Grabbing tool
to
•
:
chairs
prevent bending
over
This prevents crossing the legs
This pt will be
working w/
PT very early after surgery : Ensure they know what exercises
they should do when they go home as well as what movements they should avoid
,
fat embolism syndrome
something causes
a
fat emboli to enter into circulation from the bone marrow
which then travels to other
body organs
-
A main cause
usually the
of
a
lungs
fat embolism is
a
fracture of a
long bone
k☒fHµ⑧ ?
Long bones house yellow
marrow , which
produce fat cells
fracture in the bone can break some of them away
an
,
think
the first usual
1. Hypoxemia
of
2. Respiratory symptoms 15013 dyspnea etc)
,
,
a
is a
sign
fat embolism
change in
mental status 1 from
)
the hypoxemia
.
3. Petechia trash over neck and chest
↳ This looks like a lot
of small red / purple dots
TREATMENT
is
supportive
until the clot dissolves
↳ 02 admin
possible intubation
PREVENTION
↳ immobilize
any
is key
:
fracture right away
,
↳
manipulate the long bone
fracture until it is immobilized
Do not
A
forming
emboli
SYMPTOMS
.