Fractures
Order custom writing paper now!
  • Your research paper is written by certified writers
  • Your requirements and targets are always met
  • You are able to control the progress of your writing assignment
  • You get a chance to become an excellent student!
Get a price quote
 
Title: Fractures

Essay Details:

Subject: Science
Author: Carl B
Date: March 8, 2013
Level:
Grade: A
Length: 10 / 2701

Essay text:

Patient usually place on prophylactic anticoagulation with heparin or Lovenox then moved to coumadin or aspirin Osteomyelitis -- infection within the bone; s/s ? redness, edema, pain, pus, fever; treatment C&S, IV antibiotics, surgical drainage and debridement; prevent by strict asepsis with all open wounds communicating with bone; condition is usually acute, but may become chronic; difficult to treat and cure; long term, high dose ABT Non-union due to insufficient callus formation; treatment is bone grafting Nursing Interventions for patient with a Fracture -- Pain ? administer pain meds; often a combination of an oral narcotic analgesic with an oral non-narcotic analgesic is most effective in relieving pain of fracture ? examples: Percocet (oxycodone + acetaminophen), Tylenol with codeine; Apply ice to affected area with MD order; reposition within limitations High risk for altered tissue perfusion ? NV checks as described previously; report abnormal findings immediately Impaired mobility ? Positioning ? avoid altering the alignment of the fracture; avoid changing the pull of the traction; take care not to damage the cast; avoid stress on internal fixation devices; generally ? do not move patients with unreduced, non-immobilized fractures; patients with reduced and immobilized fractures can turn; patients in traction are somewhat limited by can turn slightly side-to-side; change position q 2 hours; overhead frame with trapeze enable patient to help adjust position Preserve strength and mobility ? encourage movement to the greatest possible extent; encourage self-care to extent possible; isometric exercises (gluteal, quadriceps); isotonic exercises (bed push-ups, pull-ups on trapeze); ROM to unaffected extremities Maintain skin integrity ? visually inspect pressure points at least q 8 hours; turn or change position q 2 hours; protective devices ? low pressure bed, elbow and heel protectors; check all appliances for skin irritation (traction, casts) Prevent respiratory, circulatory complications ? cough and deep breathing; exercise as described; change position q 2; mobilize or ambulate patient as soon as possible Constipation (due to immobility, inadequate fluid intake, narcotic analgesics) ? increase fluids to 3000 cc/day; increase dietary bulk; provide privacy, comfort, regularity; stool softeners, suppositories, Fleets, laxatives prn Risk for altered urinary function ? patients who are immobilized get an increased serum calcium level because of bone loss; they may develop bladder stones from this; may also have stasis of urine due to incomplete emptying of bladder if voiding in a lying down position For optimum bladder function ? increase fluids 2000-3000 cc/day; optimal positioning for voiding; check frequently for retention; monitor I&O Nutritional deficit ? for optimum healing of fractures, need increased protein, vitamins, minerals in diet; provide a well balanced diet to meet patient's needs; monitor food intake; provide protein supplements if needed Patient in a Cast Materials ? plaster of paris, fiberglass, plastic Plaster ? wet before application, is heavy; need to keep dry because will soften and crumble if gotten wet; inexpensive; may be changed several times Fiberglass and plastic ? dry quickly, light weight; can be wet and still maintain their rigidity; if gotten wet, can dry with a hairdryer Casts completely encircle the extremity or trunk; splint is the same materials but does not completely encircle the body part; like a half-cast; held in place with a bandage, often an Ace bandage Casts are applied over clean skin; skin may be covered with cotton sheeting or stockinette; body prominences padded with cotton wadding or felt Cast removal ? electric cast saw; will not cut skin Cast care ? Teach patient ? plaster feels warm as it dries; keep the cast dry; put no sharp objects into the cast (for scratching) Support wet plaster with the palms of the hand only; fingertips will make indentations in the cast that can produce pressure areas on underlying skin; place the wet cast on absorbent material (cotton blanket); do not cover the wet cast ? allow to air dry Circulatory ? NV checks q 1 hour; ice pack to fracture site (MD order); elevate casted extremity on 1-2 pillows for 24-48 hours; any impairment of circulation ? notify MD; cast will be bivalved If the patient has had an open reduction, the cast may have a window over the site; if not ? there may be drainage evident on the cast ? monitor the size of the drainage spot on the cast ? looking for large or increasing amounts of bright red drainage Turn patient q 2 hours; usually any position is ok, as long as the patient is comfortable Skin care ? watch skin at the edges of the cast for irritation and pressure; apply strips of adhesive tape or moleskin over rough edges; apply plastic around perineal area to prevent soiling of cast Monitor cast for signs of pressure areas under cast ? patient may complain of a burning spot or a hot spot; make sure to notify MD and to document carefully; smell cast ? an area of breakdown under the cast may cause an odor; watch for areas of drainage on the cast...

Showed 18% of text Buy database access to get full access to all 184 988 essays

Calculate a fair price for your order

Do you need an essay?

A professional team of writers is able to craft custom essays from scratch according to your instructions. We are ready to satisfy writing needs of every demanding customer.

Price start from $11.99 / page
Order now

Do you need many essays?

The product provided is intended to be used for research or study purposes. Get instant access to over 200,000 papers.

Price start from $28.95 / month
Buy database access
101 4.9 5

Feedback of people who used our services.

Rudy A., Los Angeles. CA

My experience with ManyEssays.com is extremely satisfying! I was amazed on your user-friendly website which is very helpful. I have also happy on how your customer service experts ...

Rebecca G., Portland, OR

I would like to say thank you for the level of excellence on providing written works. My University required us a very difficult paper using a very specific writing format and ...

Michael S.,Austin, TX

I am happy with the results your company gives. ManyEssays.com is the best place for essays!

Vincent S., Boston, MA

I was given by my professor a very difficult essay assignment and I really don’t know what to do. I needed help and ManyEssays.com came at the right time. I quickly availed your ...

Conrad H., Pasadena, CA

I am very happy on the excellent job your writers did on my thesis. It was beautiful in every way, it was a literary masterpiece! Everything was done according to instructions and ...

Alex M., Richmond, VA

A top-notch organization all the way and a model in excellent service, your company is. The level of expertise in your field is exceptional as you have in your employment the best ...

Emily R., Boston, MA

Your writing service is so amazing! I was skeptic at first on how your company provides result, but my skepticism gradually vanished immediately after you had finished one task in ...

Timothy J., Houston, TX

Your services were an important factor for my academic advance during my college years. I really thank you that you were there when I needed help in my term paper. Your company ...

Similar Essays:

Boot-top Fracture

3 pages / 634 words

Decubitis Ulcers

4 pages / 1157 words

Fractures

10 pages / 2701 words

Nursing Case Study

3 pages / 680 words

open fracture of the radius

3 pages / 862 words

Physiacl Assessment

2 pages / 303 words

Rehab of Achilles Tendon Rupture

4 pages / 1113 words