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15 Cards in this Set

  • Front
  • Back
Define Fractures
An injury upon assessment that is painful, swollen, and deformed

A break of a bone
What are the clinical manifestations of a fracture?
Pain or tenderness
Limited use of extremity
Muscle rigidity
What are the four different types of fractures?
Bend/plastic deformation
Buckle or torus
What is a bend or plastic deformation?
Occurs when the bone is bent but not broken

Can be bent 45 degrees or more before breaking

If bent, the bone will straighten slowly, but not completely, to produce some deformity but w/o the angulation seen when the bone breaks
What is a buckle or torus?
Produced by compression of the porous bone, near metaphysis

Appears as a raised or bulging projection at the fracture site
What is a green stick fracture?
Occurs when a bone is angulated beyond the limits of bending

Compressed side bends, tension side fails, causing incomplete fracture similar to when a green stick is broken
What is a complete fracture?
Divides the bone into fragments

Fragments often remain attached by a periosteal hinge, which can aid or hinder reduction
What are the two different ways of emergently treating fractures?
The 5 P's

What are the 5 P's?
Pain/point of tenderness
Define RICE

Cover open wound with sterile/clean dressing
Apply cold to the area
Apply traction and elevate
What are the three different types of casts used in pediatrics?
Plaster of Paris

Fiberglass or polyurethane

Hip Spica
What is Plaster of Paris?
The extremity is covered with stockinette and padded with Webril

Rolls of cast material immersed in water, causing a chemical reaction

The material is then molded over the extremity
How do you care for a cast?
Handle wet cast with palms of hands

'Petal' rough edges with tape or mole skin after cast is dry to reduce skin irritation

Neuro assessments-CSM

Demonstrate removal on doll to assure child no harm
What do I need to know about a fiberglass or polyurethane cast?
Lighter weight material
Dries in 5 to 30 minutes
Water resistant
Bright colors and designs
Rougher surface
More expensive
What is important to remember about a Hip Spica cast?
Do not use stabilizing bar to lift or move child
Have a firm mattress, pillows, and raise HOB
Do not use baby powder in perineal area
Prevent food, toys or objects from getting into the cast
Provide diversional activities