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Fractues

Fractures

Treatment

Options

Treatment Options

Reduction

closed

open

Fixation

internal

external

Traction

Cast

Assessment

Sensation

Motor function

Pain

Color

Temperature

Capillary refill

Peripheral pulses

Edema

Assessment

Peripheral Vascular Assessment

Peripheral

Neurologic

Assessment

Complications

Complications

Infection

Osteomyelitis

Compartment Syndrome

Pulmonary Emboli

Fat

Emboli

Avascular

Necrosis

Compartment Syndrome

Compartment Syndrome

S&S

increase pressure

decreased blood flow

increased tissue ischemia

neurovascular impairment

irreversible in 4 to 6 hours

pale

dusky

edematous

pain with passive movement

loss of sensation

pulselessness

Interventions

Goals

Notify HCP

Fasciotomy

Loosen tight dressings

Bivalve cast

Relieve Pressure

Restore Tissue perfusion

introduction of organisms into bones

localized bone infection

Osteomylitis

complication

of

fractures

S&S

increase HR

Temp> 101

redness pain

increase WBC

Increase ESR

Interventions

long term IV antibiotics

hyperbaric oxygen therapy

surgery

Fat

Emboli

Fat Emboli

originates in bone marrow

after fracture

fat globule released to blood stream

STAT

ABC

notiify HCP

O2

IV fluids

montior

prepare for intubation

prevent shock

S& S

restlessness

change LOC

tachycardia

hypotension

tachypnea

hypoxia

dyspnea

rash

Cast Care

Types

Plaster

FIber glass

Air

Red Flags

pain

swelling

discoloration

tingling

numbness

coolness

diminished pulses

Cast

Care

Elevate

Bivalve

Petal

Clean & Dry

Isometric Exercises

Monitor for infection

Don't use hair dryer on plaster cast!

Don't stick objects down the cast!

Pin Care

normal saline/peroxide

betadine

Traction

reduce or immobilize fracture

Types

Skeletal

Skin

Bucks

Russel

Balanced

Dunlap

Traction

Interventions

weight hang free&off floor

ropes move freely

secure knots

ropes not frayed

CSM Assessment

Color

Motor

Sensation

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