Fractures- Kahoot!
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- Опубліковано 5 вер 2024
- In this video you will learn about Bone Fractures, the clinical manifestations, treatments and nursing interventions. You will learn about the key concepts to know for nursing exams.
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Mechanism of injury with geriatics is also a priority to rule out elderly abuse
Happy New Year and all the best to you and your family.
I think there is an error with question number 4 .on explanation you are explaining what should the patient do when they have a cast but the question here is asking nursing implications after cast has been removed that makes elevation of the limb correct which was picked by the majority.
Yes the question is asking about after the cast is removed, shouldn’t it be to do the ROM exercises
After removal of a long leg cast, the PRIORITY is prevention of compartment syndrome, which can still occur after removal.
While ROM may be a good thing to improve circulation, the guaranteed method of draining that site of any edema that occurred during casting is elevation
Remember, exercise, including ROM exercises, after removing a cast, is done gently and slowly, over time until patient builds up strength in affected limb
Hope that helps 🙂
@@carlystone5994 what causes compartment syndrome??
@nozinhlenkomo2739 Think of it as fluid build up inbetween 2 or more muscles, which can cause increased pressure to that area. Pressure to that area chokes off oxygen supply, nutrients, and blood circulation to that area which causes cells to breakdown and die.
When cells die, myoglobin, a type of protein, is released into blood, which can clog up kidneys
When the kidneys are affected, this starts to break down the kidney functioning, which can lead to kidney failure, thus oliguria, thus other organ failure
The cause of the increase in fluid build up between muscles can be injury, such as a fracture, which can puncture vessels, and thus contents of bone marrow, and blood , can spill into this " 3rd space"...like pleural effusion, or anasarca
Also, pressure, such as pressure from a cast, can impede circulation, and cause changes to vessels ( like inflammation) that further impede circulation , and cause compression syndrome
Raising legs while with cast and immediately after cast removal can improve circulation
After cast removal it may take a little while for inflammation to go down and circulation to come back to normal. Thus, the need for continued elevation of leg after removal for a short while
@@nozinhlenkomo27392nd msg, ....also, remember, the raising of legs is for possible PREVENTION of compartment syndrome. Once one has compartment syndrome, raising legs won't help much. At that point draining the compartment, or having a fasciotomy surgery are the solutions usually
Thank you professor D
Thank you Professor D! How can I send you a gift?