ipl-logo

Fat Embolism Syndrome Case Studies

1354 Words6 Pages

Introduction Fat embolism is fat within the circulation, which can produce embolic phenomena, with or without clinical sequelae.Fat Embolism Syndrome (FES) is fat in the circulation associated with an identifiable clinical pattern of symptoms and signs. Majority of cases of fat embolism (95%) occur after major trauma1. It can be demonstrated in 90% of patients with long bone fractures, out of which only 1-5% of patients develop fat embolism syndrome (FES). FES is a serious consequence of fat embolism. Its overall mortality rate generally varies between 5-15% of which a majority dies of respiratory complications2. FES is self-limiting, provided that supportive therapy is maintained. Abstract A 22 year old male was admitted to the Intensive …show more content…

The patient was kept in the propped up position with the head end elevated to 450. 2. He was initially given 60% oxygen via a venturi mask 3. His vital parameters were monitored ECG, Heart rate ,SPO2, NIBP, Hourly urine output, temperature, GCS score 4. His initial arterial blood gas with 60% oxygen was pH-7.39 pO2-385 mm Hg pCO2-32 mm Hg BE(Blood)- +1.2 HCO3 std20 meq/L 5. A nasogastric tube was inserted as his GCS was low for the purpose of giving medication and starting nasogastric feeds. 6. He was started on intravenous fluids according to his maintenance requirement. 7. Analgesia was provided by a regular dose of oral paracetamol 1g 6 hourly 8. Intravenous antibiotics were continued which were started in the ward Cefuroxime 750 mg 8 hourly Flagyl 500mg 8 hourly 9. Antacid prophylaxis with intravenous ranitidine 50mg 12 hourly 10. Nebulisation with normal saline 6hourly combined with chest and limb physiotherapy Subsequent management The supportive care initiated on the day of admission was continued throughout the ICU stay. He was transfused with 1 unit of packed red cells as his haemoglobin dropped to 7.2g/dl. We didn’t transfuse him platelets although his platelet count dropped to 107,000 as there were no significant bleeding

Show More
Related
242 Words | 1 Pages

Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.

Read More
890 Words | 4 Pages

Assess for prothrombin time during treatment (2 sec deviation from control time, bleeding time, and clotting time); monitor for bleeding, pulse, and BP. Assess for nutritional status: liver (beef), spinach, tomatoes, coffee, asparagus, broccoli, cabbage, lettuce, greens. Administer IV route after diluting with D5, NS 10 ml or more give 1 mg/min or more. IV route only when other routes not possible (deaths have occurred). Perform/provide Store in tight, light-resistant container Evaluate

Read More
362 Words | 2 Pages

He is in no acute distress. Blood pressure 120/78. Pulse 70 and regular. Weight 177 pounds. Height 5 '6".

Read More
1209 Words | 5 Pages

Mr. A is admitted to the critical care unit post bowel resection, splenectomy, acute respiratory distress syndrome (ARDS) and patient-ventilator dyssynchrony (PVD). He is an eighteen-year-old African American man who is placed on an IV infusion of Norcuron and Ativan. The major outcomes expected for Mr. A would be for him to be able to wean of the ventilator, be hemodynamically stable, heal adequately, tolerate his diet, have adequate bowel elimination, and be able to adjust to his life with optimal functioning. The problems that are to be manage include, being on the ventilator, being sedated, having an elevated temperature, having a low hemoglobin, post surgical bowel resection, splenectomy, hypoxia and diet intolerance.

Read More
521 Words | 3 Pages

Disseminated Intravascular Coagulation (DIC) Disseminated intravascular coagulation (DIC) is a case of uncontrolled activation of proteins that are involved in the clotting process such as thrombin, fibrinolytic proteins, platelets, and coagulation factors. DIC occurs due to inflammation, trauma, infection, and shock. The presence of mucocutaneous bleeding is an evidence of DIC. Disseminated intravascular coagulation has acute and chronic phases. In acute phase, a patient will have severe symptoms while in chronic phase a patient may suffer from inflammation of blood vessels or adenocarcinoma.

Read More
685 Words | 3 Pages

As a result, these patients can’t bring the carbon dioxide out, they become retain the carbon dioxide which makes it so hard for them to breathe

Read More
556 Words | 3 Pages

EMS Response to Opiates As I approached the scene I saw two Suffolk County police department sector cars on scene and a first responder. This was a summer evening, you could still feel the humidity lingering in the air. Over the radio, the cops relayed that CPR was in progress. I approached the house, entered using the side entrance.

Read More
1676 Words | 7 Pages

Annette’s reason for admittance at the hospital is an overall weakness, flu-like symptoms, and difficulty with breathing (Prizio, n.d.). She is diagnosed with diabetic acidosis, left upper lobe pneumonia, and a bacterial infection (Prizio, n.d.). Unfortunately, her condition becomes worse. Annette’s right lung collapses, her heart rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.).

Read More
578 Words | 3 Pages

Mildred Pasek, my friend and colleague died on August 8th 2017 following an anterior approached back surgery on July 28th at the New England Baptist Hospital. Before you read on, my goal is not to criticize the orthopedic or vascular surgeon’s professionalism, immense skill or personal care of Mildred as these cases affects all providers on a deep emotional and professional level. My concern is for the post-operative care of patients, like Mildred, who have comorbidities, are not necessarily in the ideal condition going into surgery, or at a critical time can advocate for themselves. As well as the debilitating arthritis, she had hypertension required three antihypertensive medications to control. Those meds were held pre surgery, and never resumed.

Read More
688 Words | 3 Pages

2012). An anticholinergic nebulizer, ipratropium was given to mrs.Smith as per the order which helped to reduce dyspnea and cough slightly. Her Early warning score still remains 6. On detailed examination, Ed doctor suspected mrs.Smith may be having heart failure. ECG done on her which shows sinus tachycardia.

Read More
520 Words | 3 Pages

He lifted his mask onto his face, making sure he wouldn't inhale anything but his own bacteria. With a pull at David gloves, he checked the monitor for abnormalities. Blood volume 70 lm/kg and a heart rate of 500 beats per minute— though a little higher than most rodents—it was stable. Silence was key—as increase would immediately upset it. David pulled up his gloves once more, making sure his hands were covered, as he was continued to approach it.

Read More
1526 Words | 7 Pages

He stays in the hospital over a liver condition that fails to be jaundice, but his fever

Read More
532 Words | 3 Pages

Type 2 diabetes rates have been rising in Canada and around the world and are due to excessive weight gain, obesity and physical inactivity. It is known as a disease where the pancreas does not produce enough insulin in the body, therefore resulting in glucose building in the blood whereas it should be used for energy. According to the World Health Organization, the number of people with diabetes in Canada will increase by 75% over the next 30 years from 2 million to 3.5 million patients. Moreover, diabetes is a rising concern as it leads to diseases such as heart, and kidney disease, stroke, infections and low levels of blood sugar. This paper explores the issues of diabetes and solutions to prevent it by increasing physical

Read More
1016 Words | 5 Pages

They concluded that in a population of medical intensive care unit spontaneously breathing patients, just before extubation, the presence of leaking around the endotracheal tube rules out postextubation stridor. On the other hand Engoren(12) in his study that was conducted in a cardiovascular ICU after cardiac surgery over 531 extubations in 524 cardiac surgery patients disagree with all previous results. Twenty patients among them had positive leak test (a leak ≤ 110 mL). None of the 20 patients with a positive leak test developed problems. Three patients had postextubation stridor.

Read More
713 Words | 3 Pages

11/23/2015 Florence Nightingale 1. Analyze the Applicability of the Theory a. Structure • This theory is based upon the concept of environment and 13 sub-concepts, which can be manipulated to prevent diseases. • The metaparadigms are well defined; however, the 13 canons/sub-concepts are not described that well. Hence lacking structure and clarity.

Read More

More about Fat Embolism Syndrome Case Studies

Related Topics

Open Document