NURS 498 Lecture Notes - Lecture 2: Traffic Collision, Spasm, Crush Injury
20 Feb 2018
School
Department
Course
Professor
Document Summary
Falls direct blows; forced flexion/hyperextension; twisting forces. Other pathological conditions; violent muscle contractions (seizures); crush injury. Deformity (loss of normal bony contours) or unnatural position of affected limb. Edema and ecchymosis (redness around edema bleeding under the skin) Open wound over injured site, exposure of bone. Do not attempt to straighten fractured/dislocated joints; manipulate protruding bone ends. Monitor vital signs, loc, o2 sat, peripheral pulses, and pain. Monitor for compartment syndrome characterized by excessive pain, pain with passive stretch of the affected extremity muscle, pallor, paresthesia, and late signs of paralysis and pulselessness. Monitor signs and symptoms of fat embolism dyspnea, chest pain, temperature elevation. Pain is the final element of the neurovascular assessment location, quality, and intensity of the pain; pain scale rating increased pain unrelieved by drugs. Ineffective self-health management r/t lack of knowledge regarding muscle atrophy, exercise program, and cast care a/e/b question about long-term effect of immobilization, devices, or activity restrictions.
