Rib fractures haemothorax
Defination
is the result of laceration of an intercostal artery rather than bleeding from the lungs that lacerates the lung parenchyma
signs and symptoms
absent breath sounds
difficulty in breathing
dull sounds
chest pains
rapid heart rate
blue tinge to the lips
pale, cool, clammy skin
pathophysiology
PIC scores chartered on board and in electronic medical record
minimise intravenous fluid as possible
mobilise at least three times daily unless contraindicated
hourly incetive spirometry and coughing and deep breathing
elevate head of bed to 30 degrees
management
multimodal systemic analgesia ordered upon admission
consultation of anaesthesia acute pain service if persistant
through thoughtful assessments of geriatric patients who may be likely to tolerate multimodal systemic analgesia
don't rub anything tightly around ribs put ice on the area to relief pains
nursing care plan
treat for pain
immobilisation of the injured part
ensure rest put ice, compression and elevation on the site of injury
realignment of parts that are out of place
treatment of serious complications
elevate the limb, above the level of the heart if possible to limit swelling
diagnostic procedures
CT scan
x-ray
MRI
bone scan
treatment
putting ice pack
chest physiotherapy
nonsteroidal anti-inflammatory
analgesia