زائر
Fates
Definitin : It is beak in the ntinity f the bne.
Types f fates :
1- mpete fates :
Beak ass the entie ss setin f the bne & is feqenty dispaed.
2- Inmpete fate ( Geen stik fate)
Beak pat f ss setin f the bne.
3- mmited fate:
Pde sevea bne fagment.
4- se fate (Simpe fate)
Ds nt ase a beak f skin.
5- pen fate :
Beak dwn f the bne ase injy f the skin.
Gades f pen fates :
N Gade I : ean wnd ess than 1 m ng
N Gade II : age wnd witht extensive sft tisse damage.
N Gade III : highy ntaminated wnd with extensive sft tisse damage.
6- mpessed fate
7- Avsin fate
8- Depessed fate
inia Manifestatins :
1- Pain: inease in seveity nti the bne fagment immbiized.
2- ss f fntin : de t dysfntin f mses whih attahed t fated bne.
3- Defmity : est fm tisse sweing , dispaement , angatin tatin f the fagments in a fated extemity .
4- Shtening : de t fated bne that mse attahed t it .
5- epits : It is a geat sensatin when the extemity examined by the hand . It is pded de t bbing f bne fagment against eah the.
6- Sweing & disatin : sweing pded de t tma that pded fate .
Emegeny Management f Fate :
*-a f hep. ( Ambane 101)
*- Assess the patient's eve f nsisness
*- Assess the site f fate f beeding.
*- If beeding is pesent ty t stp it by appying a pesse.
*- ean the wnd with antisepti stin nma saine.
*- ve the wnd with gaze.
*-Ty t immbiize fated extemity.
*- Avid mvement f the extemity t pevent fate mpiatins .
*- Assess nevasa f the fated extemity .
*- Tansfe the patient as a mpete nit.
Media Management :
1-edtin : its etning the fated bne t its anatmia psitin .
2-se edtin :
etn the bne t its anatmia psitin with t sgey befe the ast appied.
3-pen edtin :
etn the bne t its anatmia psitin and fix it by sgia pede by intena fixatin extena fixatin.
4- Immbiizatin :
By appying ats intena extena fixatin afte the bne etn t anatmia psitin.
NSING MANAGEMENT:
1- NSING MANAGEMENT F PATIENT WITH SED FATE .:
1-Enage the patient t etn t his sa ativity.
2- Desibe appahes t nt sweing and pain as eevate the affeted imb and anagesia as pesibed.
3-ept pain nnted by eevatin anagesia.
4- nsme diet t pmte bne heaing.
2- NSING MANAGEMENT F PATIENT WITH PEN FATE:
1-Admineste tetans as pphyaxis if indiated.
2- T pevent gas gangene seia iigatin and débidement ae sed.
3-Antibitis IV administeed as pesibed
4- T deease edema eevate the imb.
5- Feqenty vita signs assessment.
6- Nevasa assessment feqenty.
FATS AFFETING FATE HEAING :
1- Fats enhane fate heaing :
Immbiizatin f the fated imb.
Maximm bne fagment ntat
Sffiient bd sppy
Ppe ntitin
Exeise
Hmnes : gwth hmne , vitamin D , thyid hmne
Fats that inhibit fate heaing:
Extensive a tma.
Bne ss
Inadeqate immbiizatin
Infetin
a maignany
Metabi bne disease
Age
Avasa nesis
Definitin : It is beak in the ntinity f the bne.
Types f fates :
1- mpete fates :
Beak ass the entie ss setin f the bne & is feqenty dispaed.
2- Inmpete fate ( Geen stik fate)
Beak pat f ss setin f the bne.
3- mmited fate:
Pde sevea bne fagment.
4- se fate (Simpe fate)
Ds nt ase a beak f skin.
5- pen fate :
Beak dwn f the bne ase injy f the skin.
Gades f pen fates :
N Gade I : ean wnd ess than 1 m ng
N Gade II : age wnd witht extensive sft tisse damage.
N Gade III : highy ntaminated wnd with extensive sft tisse damage.
6- mpessed fate
7- Avsin fate
8- Depessed fate
inia Manifestatins :
1- Pain: inease in seveity nti the bne fagment immbiized.
2- ss f fntin : de t dysfntin f mses whih attahed t fated bne.
3- Defmity : est fm tisse sweing , dispaement , angatin tatin f the fagments in a fated extemity .
4- Shtening : de t fated bne that mse attahed t it .
5- epits : It is a geat sensatin when the extemity examined by the hand . It is pded de t bbing f bne fagment against eah the.
6- Sweing & disatin : sweing pded de t tma that pded fate .
Emegeny Management f Fate :
*-a f hep. ( Ambane 101)
*- Assess the patient's eve f nsisness
*- Assess the site f fate f beeding.
*- If beeding is pesent ty t stp it by appying a pesse.
*- ean the wnd with antisepti stin nma saine.
*- ve the wnd with gaze.
*-Ty t immbiize fated extemity.
*- Avid mvement f the extemity t pevent fate mpiatins .
*- Assess nevasa f the fated extemity .
*- Tansfe the patient as a mpete nit.
Media Management :
1-edtin : its etning the fated bne t its anatmia psitin .
2-se edtin :
etn the bne t its anatmia psitin with t sgey befe the ast appied.
3-pen edtin :
etn the bne t its anatmia psitin and fix it by sgia pede by intena fixatin extena fixatin.
4- Immbiizatin :
By appying ats intena extena fixatin afte the bne etn t anatmia psitin.
NSING MANAGEMENT:
1- NSING MANAGEMENT F PATIENT WITH SED FATE .:
1-Enage the patient t etn t his sa ativity.
2- Desibe appahes t nt sweing and pain as eevate the affeted imb and anagesia as pesibed.
3-ept pain nnted by eevatin anagesia.
4- nsme diet t pmte bne heaing.
2- NSING MANAGEMENT F PATIENT WITH PEN FATE:
1-Admineste tetans as pphyaxis if indiated.
2- T pevent gas gangene seia iigatin and débidement ae sed.
3-Antibitis IV administeed as pesibed
4- T deease edema eevate the imb.
5- Feqenty vita signs assessment.
6- Nevasa assessment feqenty.
FATS AFFETING FATE HEAING :
1- Fats enhane fate heaing :
Immbiizatin f the fated imb.
Maximm bne fagment ntat
Sffiient bd sppy
Ppe ntitin
Exeise
Hmnes : gwth hmne , vitamin D , thyid hmne
Fats that inhibit fate heaing:
Extensive a tma.
Bne ss
Inadeqate immbiizatin
Infetin
a maignany
Metabi bne disease
Age
Avasa nesis
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