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Reduction
closed
open
Fixation
internal
external
Traction
Cast
Sensation
Motor function
Pain
Color
Temperature
Capillary refill
Peripheral pulses
Edema
increase pressure
decreased blood flow
increased tissue ischemia
irreversible in 4 to 6 hours
pale
dusky
edematous
pain with passive movement
loss of sensation
pulselessness
Notify HCP
Fasciotomy
Loosen tight dressings
Bivalve cast
Relieve Pressure
Restore Tissue perfusion
complication
of
fractures
S&S
increase HR
Temp> 101
redness pain
increase WBC
Increase ESR
Interventions
long term IV antibiotics
hyperbaric oxygen therapy
surgery
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
Types
Plaster
FIber glass
Air
Red Flags
pain
swelling
discoloration
tingling
numbness
coolness
diminished pulses
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
reduce or immobilize fracture
Types
Skeletal
Skin
Bucks
Russel
Balanced
Dunlap
Interventions
weight hang free&off floor
ropes move freely
secure knots
ropes not frayed
CSM Assessment
Color
Motor
Sensation