Question

Disorder of Musculoskeletal system

2. A 8-year-old boy, Larry who has been hospitalized for treatment with skeletal traction after sustaining a compound fracture of his left leg eight days ago. During the night he developed a fever of 102.6°F (39.2°C). This morning his temperature is 101.8°F (38.8°C). The pin sites are red and inflamed and the upper leg area is tender to the touch. Todd is complaining of pain, rating it a 9 out of a possible 10 on a numerical pain rating scale. Laboratory tests reveal leukocytosis, an increased erythrocyte sedimentation rate (ESR) and positive blood cultures. The health care provider diagnoses osteomyelitis.

1. What factors would increase Larry’s risk for osteomyelitis?
2. What treatment would the nurse expect to be ordered?
3. How would the nurse promote Larry’s growth and development while he is immobilized in traction and receiving treatment for his osteomyelitis?

Answer 1

A:Risk factors

1.poor blood circulation can lead to osteomylittis as he is bedridden due to fracture.

2,he may get infetions in the skin which also can develop this problem

3.administration of intravenous injection can create this problem in larry.

B:

1.FIRST line treatment will beantibiotisc .it can be oral or intravenous and which needs to continue for morethan a month.

2.analgesic for pain as he is complaining severe pain.

3.surgical debridment if it becomes severe.

C.1.provide Psychological support.

2.allow parents to be with him.

3.provide books which can improve his concentration and deviate his mind from his condition.

4.provide food which he likes.

5.isometric and passive range of motion exercises to improve circulation.