Fractures Chapter 51

Terms in this set (118)

-bone healing occurs in 5 stages.

-1=hematoma 2=granulation 3= callus formation
4= callus transforms slowly 5= consolidation

-calcium, phosphorus, D, protein are necessary for production of new bone

-ACS is extremely painful and dangerous. increased pressure in a compartment reduces circulation to the area. histamine releases and venous drainage. edema occurs. perfusion is redcued, ischemia results. fracture 75% of the time is cause of this. if this occurs at home go to the ER right away.

-fat embolsim sysndrome is from fat globules from the yellow bone marrow into bloodstream within 12-48 hours of an injury. most commonly causes a lung problem. petechiae is a classic manifestation of this but is a late sign

-rib fractures are painful with breathing. monitor respiratory status

-with a wet plaster cast, use only your palms to prevent indentation. turn this patient every 1-2 hrs for drying.

-no cast should be too tight. check neuro status every hour for the first 24. should be able to insert a finger between the cast and skin. ice for first 24-36 hours for swelling.

-a hot spot is when the cast may be too tight and causes burning and itching. musty smell may be present.

-traction works well for spasms. weights are never removed or messed with unless ordered. freely hanging at all times.

-monitor the 6 P's for ACS. can occur 6 to 8 hours post op or 2 days. check protocol if you can remove tight thing yourself while you wait for the surgeon. fasciotomy is the procedure to relive this pressure.