Fat Embolism Flashcards
1
Q
Rhabdomyolysis is a dfdx, it has lbt :
A
high CPK from muscle breakdown with a urine analysis and dipstick that shows positive blood with fewer than 5 RBCs
2
Q
Fat Embolism patho
A
Fracture of the long bone allows for fat to escape as little vesicles and cause
occlusion of vasculature throughout the body. The most common bone is the
femur.
3
Q
cxfx
A
Onset of symptoms is within 5 days of the fracture.
- Confusion
- Petechial rash on the upper extremity and trunk
- Shortness of breath and tachypnea with dyspnea
4
Q
LBT: ABG result
A
P02 under 60 mm Hg.
5
Q
Chest x-ray will show
A
infiltrates.
6
Q
Urine analysis may show
A
fat droplets.
7
Q
Treatment
A
requires oxygen to keep P02 over 95%. If the patient
becomes severely hypoxic, intubation followed by mechanical ventilation is
necessary.
