Early observation and nursing of fat embolism.doc

 PAGE \* MERGEFORMAT 6 Early observation and nursing of fat embolism [Keywords:] trauma; fat embolism; Care Fat embolism is a trauma, particularly long bone fractures, multiple fractures of the early acute severe complication is the sudden disturbance of consciousness, progressive hypoxemia, respiratory distress syndrome is characterized by its rapid onset, progress fast, high mortality rate. Because of limited primary hospital, no blood gas analysis, and fat drops of urine testing, diagnosis can only be based on clinical symptoms, signs and chest X ray to determine. Therefore, careful observation of clinical nurses need to actively prevention and timely treatment. now I Division 2 cases of fat embolism observed patient care Some experience described below. An observation point 2 patients in this group, men were 34 years old, 55 years old, fat embolism occurs 10 hours after injury, the shortest, the longest 46 hours. Observe the following points. 1.1 in the sense of trauma patients, facial expressions, breathing, chief complaint, language skills, such as the abnormal mental state, there is a harbinger of the incidence of fat embolism. Embolism incubation period of 48 hours after injury in most, a week after rare. Femoral shaft fractures patients, particularly multiple fracture patients should be closely observed changes in condition, seriously treat the new symptoms and signs. If a patient without brain injury cases, there face indifference, restlessness, delirium and even coma, no chest trauma cases, respiratory breath, difficulty, cyanosis, etc., should attach great importance to early detection, diagnosis, it is the key to saving lives of patients. 1.2 trauma patients vital signs, elevated ESR, decreased hemoglobin are important indications for diagnosis of fat embolism. Embolism body temperature rises above 38 ~ 40 , pulse rate much at 120 beats / min, shortness of breath large 30 beats / min, ESR approaching 30 ~ 90 mm / hour, hemoglobin