NURS 498 Lecture Notes - Lecture 1: Interstitial Lung Disease, Fluid Replacement, Embolism
20 Feb 2018
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Document Summary
Presence of systemic fat globules from fracture that are distributed into tissues and organs after. Fat embolism syndrome (fes) a traumatic skeletal injury: contributory factor in many deaths associated with fracture. In a short time, skin colour changes from pallor to cyanosis. Treatment: fluid resuscitation, correction of acidosis, replacement of blood loss. Fes is characterized by the presence of systemic fat globules from fractures that are distributed into tissues and organs after a traumatic skeletal injury. Fracture that most often causes fes are those of the long bones, ribs, tibia, and pelvis. One theory suggest that fat is released from marrow of injured bone and enters the systemic circulation where the fat embolizes to other organs such as the brain. Tissue of the lungs, brain, heart, kidneys, and skin are most often affected. Initial manifestations usually occur 24 to 48 hours after injury. Fat globules in lungs cause a hemorrhagic interstitial pneumonitis that produces signs and symptoms of.
