SLCC Pathophysiology Unit 12, SLCC Pathophysiology Unit
10, SLCC Pathophysiology Unit 9, Lab Values
Pathophysiology Exam 4
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Patho hesi fluid imbalance CM #3
55 terms 82 terms 78 terms
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650, 187 The human has over ___ muscles and ___ joints
Are soft tissue injuries of tendons and ligaments. Repair time can
Strains & Sprains be longer than a bone fracture due to poor blood supply to
these types of tissues.
Strain Is an injured Tendon
Kidney damage begins soon after loss of blood perfusion
Femur, pelvis as would happen in blood loss from a trauma or break in a _______
or _______.
What is the acronym for Serious Complications Associated with
THICA
Orthopedic Injuries (be able to list them on the whiteboard!)
Pain, Pulse, Pallor, Parathesia, List the 5-Ps for a Neurovascular Assessment (be able to list them
Paralysis on the whiteboard!). Remember - AUAAA
Anticipated Estimated Blood Loss with Fractures in Liters:
1.5
Femur Fx
Anticipated Estimated Blood Loss with Fractures in Liters:
2
Pelvis Fx
Anticipated Estimated Blood Loss with Fractures in Liters:
2
Thorax (sternum) Fx
Anticipated Estimated Blood Loss with Fractures in Liters:
0.5
Humerus Fx
Bleeding occurs from both the soft tissue that is injured by the
broken bone and from the bone itself. Bones w/red marrow
Hypovolemic Shock bleed profusely and internally (so no obvious outward s/s of
bleeding). Yellow bone marrow contains fatty tissue and
contributes to Fat Emboli.
- bleed profusely and internally (so no obvious outward s/s of
Bones w/red marrow
bleeding).
, ATN (Acute Tubular Necrosis) If Fx bleeds too much ==> will cause ___________.
Limb could be irreversibly damaged from____ hours after injury.
Both fractures and crush injuries can create a compartment
6 to 24 syndrome situation, but should be considered as a possibility if
the patient experiences unusual pain and immobility after
vigorous exercise.
The treatment for compartment syndrome to allow room for the
tissue to swell. The incision is left open until the swelling reduces
Fasciotomy
enough to close the incision. The sooner surgery is done, the less
damage there will be to muscle and nerve tissue occurs.
S/S of Compartment Syndrome to check for:
PAIN
- is 1st and MOST IMPORTANT symptom.
S/S of Compartment Syndrome to check for:
positive Homan's Sign A very concerning sign is pain that occurs with active or passive
stretch (__________).
S/S of Compartment Syndrome to check for:
Recall that this condition is one of the 5 exceptions when Pain is
physical, psychsocial considered _________ (takes higher priority) and not _________ (any kind
of pain that is not sudden and/or severe must wait until all the
patient's physical needs are met first).
S/S of Compartment Syndrome to check for:
muscle infarct Eventually, the severe burning and stinging type pain gives way
to numbness and loss of function from the ___________.
S/S of Compartment Syndrome to check for:
pain, parathesia
- Early signs (2) include:
decreased pulse, decreased S/S of Compartment Syndrome to check for:
capillary refill, decreased temp, - Late signs (4) include:
color change
S/S of Compartment Syndrome to check for:
paralysis
- Last sign (1) is:
indicates the often asymptomatic presence of fat globules that
travel to and get lodged in the lung tissue. The majority (95%) of
cases occur after major trauma. Fat emboli occur in almost 90%
Fat Embolism
of all patients with severe injuries to bones, although only 10% of
these are symptomatic. (Fat globules originate from yellow bone
marrow or surrounding adipose tissue)
1-3 FES occurs ___ days after Fx
long bones, pelvis FES Usually occurs after Fx of __________ or ______
respiratory, neurologic, FES Classic Triad:
petechial rash
Usually 1st FES classic triad indicator:
respiratory - dyspnea, hypoxia, and/or chest pain are caused by fat emboli
traveling to the lungs. May progress to ARDS
2nd FES classic triad indicator:
neurologic - confusion/drowsiness, altered mental status, seizures and
stroke like s/s caused by fat emboli traveling to the brain
10, SLCC Pathophysiology Unit 9, Lab Values
Pathophysiology Exam 4
Save
Students also studied
Flashcard sets Study guides Practice tests
Patho hesi fluid imbalance CM #3
55 terms 82 terms 78 terms
g4vinanol Preview lianaosgood21 Preview phillip_ashkar
650, 187 The human has over ___ muscles and ___ joints
Are soft tissue injuries of tendons and ligaments. Repair time can
Strains & Sprains be longer than a bone fracture due to poor blood supply to
these types of tissues.
Strain Is an injured Tendon
Kidney damage begins soon after loss of blood perfusion
Femur, pelvis as would happen in blood loss from a trauma or break in a _______
or _______.
What is the acronym for Serious Complications Associated with
THICA
Orthopedic Injuries (be able to list them on the whiteboard!)
Pain, Pulse, Pallor, Parathesia, List the 5-Ps for a Neurovascular Assessment (be able to list them
Paralysis on the whiteboard!). Remember - AUAAA
Anticipated Estimated Blood Loss with Fractures in Liters:
1.5
Femur Fx
Anticipated Estimated Blood Loss with Fractures in Liters:
2
Pelvis Fx
Anticipated Estimated Blood Loss with Fractures in Liters:
2
Thorax (sternum) Fx
Anticipated Estimated Blood Loss with Fractures in Liters:
0.5
Humerus Fx
Bleeding occurs from both the soft tissue that is injured by the
broken bone and from the bone itself. Bones w/red marrow
Hypovolemic Shock bleed profusely and internally (so no obvious outward s/s of
bleeding). Yellow bone marrow contains fatty tissue and
contributes to Fat Emboli.
- bleed profusely and internally (so no obvious outward s/s of
Bones w/red marrow
bleeding).
, ATN (Acute Tubular Necrosis) If Fx bleeds too much ==> will cause ___________.
Limb could be irreversibly damaged from____ hours after injury.
Both fractures and crush injuries can create a compartment
6 to 24 syndrome situation, but should be considered as a possibility if
the patient experiences unusual pain and immobility after
vigorous exercise.
The treatment for compartment syndrome to allow room for the
tissue to swell. The incision is left open until the swelling reduces
Fasciotomy
enough to close the incision. The sooner surgery is done, the less
damage there will be to muscle and nerve tissue occurs.
S/S of Compartment Syndrome to check for:
PAIN
- is 1st and MOST IMPORTANT symptom.
S/S of Compartment Syndrome to check for:
positive Homan's Sign A very concerning sign is pain that occurs with active or passive
stretch (__________).
S/S of Compartment Syndrome to check for:
Recall that this condition is one of the 5 exceptions when Pain is
physical, psychsocial considered _________ (takes higher priority) and not _________ (any kind
of pain that is not sudden and/or severe must wait until all the
patient's physical needs are met first).
S/S of Compartment Syndrome to check for:
muscle infarct Eventually, the severe burning and stinging type pain gives way
to numbness and loss of function from the ___________.
S/S of Compartment Syndrome to check for:
pain, parathesia
- Early signs (2) include:
decreased pulse, decreased S/S of Compartment Syndrome to check for:
capillary refill, decreased temp, - Late signs (4) include:
color change
S/S of Compartment Syndrome to check for:
paralysis
- Last sign (1) is:
indicates the often asymptomatic presence of fat globules that
travel to and get lodged in the lung tissue. The majority (95%) of
cases occur after major trauma. Fat emboli occur in almost 90%
Fat Embolism
of all patients with severe injuries to bones, although only 10% of
these are symptomatic. (Fat globules originate from yellow bone
marrow or surrounding adipose tissue)
1-3 FES occurs ___ days after Fx
long bones, pelvis FES Usually occurs after Fx of __________ or ______
respiratory, neurologic, FES Classic Triad:
petechial rash
Usually 1st FES classic triad indicator:
respiratory - dyspnea, hypoxia, and/or chest pain are caused by fat emboli
traveling to the lungs. May progress to ARDS
2nd FES classic triad indicator:
neurologic - confusion/drowsiness, altered mental status, seizures and
stroke like s/s caused by fat emboli traveling to the brain
