NCLEX Review on Fractures
Fractures
A break in the continuity of a bone
Results of a fracture can lead to damage in sorrounding muscle and tissue, hemorrage and edema.
Complications of fractures:
♠ Compartment Syndrome
- – too much fluid in too little space causes the pressure on muscles and blood vessels.
- COMPLICATION: Myoglobinuric Renal Failure
- TREATMENT: Fasciotomy: Cutting the Cast
♣ Fat Embolism
- ASSESSMENT: Mental and Resp. Changes (Confusion)
- TREATMENT: O2, Ventilation
Deep Vein Thrombosis (DVT)
TYPES:
Complete
– fracture extends through entire bone
- Incomplete
- Comminuted
Green Stick
TYPES OF TRACTION
- 1. Manual Traction
- 2. Skin Traction
- 3. Skeletal Traction
Types of Skin Tractions
1. Bucks Traction
– a type of skin traction that immobilizes th limb by maintaining a
straight pullon the limb with the use of weights.
– NO more than 10 lbs. should be applied.
2. Russels Traction
– similar to a bucks traction but provides a double pull and uses a knee sling.
– the knee is partially lifted with a sling.
Cervical Tractions
1. Crutchfield Tongs/ Cervical Tongs
External Fixation Device
– involves fracture immobilization.
– uses pins and frames.
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