Question

A 28 yo man is brought to the ED following motorcycle accident. He has fluid resuscitation begins and a urinary cath was placed. Pt has a right femoral fracture with a large swollen thigh

what additional managment?

Answer 1

Additional management steps for a patient with a right femoral fracture and a large swollen thigh include assessing for compartment syndrome, monitoring for DVT and PE, and providing pain management.

Step-by-step explanation:

When managing a patient with a right femoral fracture and a large swollen thigh, there are several additional management steps to consider:

1. Assess the patient for signs of compartment syndrome, a condition that occurs when increased pressure within a muscle compartment impairs blood flow and can result in tissue damage. If compartment syndrome is suspected, urgent surgical intervention may be necessary.
2. Monitor the patient for signs of deep vein thrombosis (DVT) and pulmonary embolism (PE) due to the increased risk associated with immobilization. Use pharmacological prophylaxis such as anticoagulant medications or mechanical devices like compression stockings to prevent DVT and PE.
3. Initiate appropriate pain management strategies, such as analgesics, to alleviate the patient's pain and promote comfort.