Trevor fell off the ladder working on cleaning out his gutters. As a result, he sustained a fractured femur
a. Explain what surgical procedures and treatment options Trevor has before him.
b. What complications is Trevor at risk for?
c. What are the signs and symptoms?
d. What diagnostic testing is used in aiding a diagnosis?
Students' answers should include the following:
a. If an external fixation is done, then pins are cleansed routinely per physician's orders to prevent infection.
Dressings are changed to prevent infection.
Skin integrity is monitored.
Traction is usually done until surgical repair.
Skeletal traction is bone to bone to align the bones.
Vital signs, skin, and circulation are monitored for any abnormalities.
b. Complications include infection, blood clots, sepsis, and deformity.
c. Signs include severe pain, swelling, ecchymosis, and possible bone extending from skin.
d. X-rays are done to reveal type and extent of fracture.
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