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FRACTURE
Injury of the extremity (long
bone) whether caused by
penetrating or blunt trauma as
high risk for fracture
complications
COMPARTMENT
SYNDROME
FAT EMBOLISM
3 Postulates:
after mechanical trauma pressure catecholamine & corticosteroid are fat droplets arise within circulated
in long bones that have high fat released as response to stress blood as a result of metabolic
content is elevated response to injury
fat droplets are forced into the small fat particles coalesce and
bloodstream through the open veins form microglobules
fat droplets/fat fat droplets/fat fat droplets/fat fat droplets/fat fat droplets/fat
globules travel globules may be globules may be globules may globules may be
through dislodged in the dislodged in the occlude dislodged in the
arteriovenous shunts blood vessels to the blood vessels to the PULMONARY blood vessels
to the BRAIN HEPATIC area RENAL structure circulation supplying the
HEART
ACUTE
PULMONARY
EDEMA, ACUTE
RESPIRATORY
DISTRESS
SYNDROME, and
HEART FAILURE
may ensue without
prompt, definitive
management
Continued…
FRACTURE
SHOCK
AND/OR
traumatic damage to a large artery or vein that supplies due to trauma, patient may form a pseudoaneurysm (a
blood hole in an artery that is a contained hematoma)
hemorrhage (both visible and nonvisible blood loss) gets bigger and bigger
and loss of intravascular volume into the interstitial
space
ruptures
HYPOVOLEMIC
SHOCK
Continued…
FRACTURE
bone remodeling
reestablishes bone’s
structural strength
- - FIN - -
Prepared by:
CERIACO, Chedan
Saint Louis University – College of Nursing, Baguio City
BSN III
References:
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing-11th edition by Suzanne C. Smeltzer (et. al.)
www.emedicine.com