Elderly fractures Flashcards
1
Q
What are the 11 standards patients with hip fractures should receive?
A
- should be admitted to acute ortho ward within 4 hours
- do big six
- “inpatient bundle of care” within 24hrs
- surgery within 36 hrs if fit for surgery
- ## cemented hemiarthropathy …
2
Q
What are the six things that should be done about hip fractures before leaving ED?
A
Analgesia (esp for x-rays)
Early warning
3
Q
What is Delirium? How is it recognised and managed?
A
Acute Confusion
4
Q
What are indicators of fluid overload
A
- raised JVP
- oedema (sacral, lower limb - tend to be pitting, pulmonary)
5
Q
What causes pressure ulcers to develop?
A
Can start to develop within 30mins of lying on hard surface like A&E trolley or floor at home
6
Q
Describe the analgesia ladder
A
7
Q
What is the best way to improve this outcome?
A
Prevent falls/trips in elderlies
