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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
A patient, diagnosed with a fractured left femur, begins complaining of chest pain, shortness of breath, and a rash on his chest. What complication should the nurse suspect at this time?
1. fat embolism syndrome
2. deep vein thrombosis
3. compartment syndrome
4. disseminated intravascular coagulation
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Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
1 -- This patient meets the criteria for fat embolism syndrome since he has sustained a long bone fracture (femur). When the bone is fractured, pressure within the bone marrow rises and exceeds capillary pressure; as a result, fat globules leave the bone marrow and enter the bloodstream. The fat globules lodge in the pulmonary vascular bed or peripheral circulation. Manifestations usually develop within a few hours to a week after injury due to the occlusion of blood supply and the presence of fatty acids.
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colleen Author
wrote...
Valued Member
11 years ago
Thank you so much Smiling Face with Open Mouth
Sunshine ☀ ☼
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