9 - Ortho (part 2) Flashcards
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Skin Traction
Treatment for Fractures
Surgery of some type is required.
a. ) Closed Reduction
b. ) Open Reduction
c. ) Open Reduction Internal Fixation
d. ) Open Reduction External Fixation
Open Reduction
Treatment for Fractures
Surgery that installs pins, plates, screws, nails, grafts, and/or implants.
a. ) Closed Reduction
b. ) Open Reduction
c. ) Open Reduction Internal Fixation
d. ) Open Reduction External Fixation
Open Reduction Internal Fixation
Muscle atrophy from the muscles not being used. Prevention includes: isometric exercises, tense/relax muscles in cast, ankle exercises, finger exercises, etc.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Disuse Syndrome
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Skeletal Traction
Superior mesenteric artery syndrome (compression due to confinement in body cast). Can cause decreased intestinal motility, and ileus can occur (due to decreased peristalsis).
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Cast Syndrome
Treatment for Fractures
Casts, splints, braces, and/or traction.
a. ) Closed Reduction
b. ) Open Reduction
c. ) Open Reduction Internal Fixation
d. ) Open Reduction External Fixation
Open Reduction External Fixation
Increased tissue pressure in small space, which compromises circulation. If severe, requires a fasciotomy. Commonly caused by poor cast care.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Compartment Syndrome
Surgical procedure to release constricting muscle fascia to relieve muscle tissue pressure.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Fasciotomy
Fat enters circulation through fracture site, which increases clotting and viscosity.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Fat Embolism Syndrome (FES)
Treatment for Fractures
Pop back in.
a. ) Closed Reduction
b. ) Open Reduction
c. ) Open Reduction Internal Fixation
d. ) Open Reduction External Fixation
Closed Reduction
Treatment includes early immobilization, oxygenation, and hydration.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome
Fat Embolism Syndrome
S/S include having intensified pain with passive range of motion. Elevate the leg first, and then administer pain medication.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Compartment Syndrome
Treatment includes using a bivalve cast and possibly a fasciotomy.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome
Compartment Syndrome
S/S include hypoxia, ALOC (restlessness, anxiety), and petechaie (48-72 hours after) on chest (not posterior).
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Fat Embolism Syndrome (FES)
Treatment includes isometric exercises (clench fist, lift leg up/down). Goal of treatment is prevention.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome
Disuse Syndrome
Treatment includes using an NG tube to decompress stomach, IV fluids until GI motility is restored, medications for N/V, and treating bowel gangrene (worst case scenario).
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome
Cast Syndrome
S/S include decreased intestinal motility and possibly ileus.
a. ) Fat Embolism Syndrome (FES) b.) Compartment Syndrome
c. ) Fasciotomy d.) Cast Syndrome
e. ) Disuse Syndrome f.) Skin Traction
g. ) Skeletal Traction
Cast Syndrome
