| [ Summary ] |
Patients receiving dialysis therapy are facing with the danger of bone fractures. Physicians, who participate in dialysis treatment, should always keep in mind primary care concerning fractures. The sooner, the physician finds the fracture, the better. They should perform X-ray photography, or should consult with an orthopedist about the state of the patient. What the physicians, in charge of such patients, should keep in mind is the complications in the acute stage, which are shock, hemorrhage, compartment syndrome,and fat embolism. If the physicians suspects such conditions, they should immediately contact the related hospital-center, and initiate therapy as an emergency case. It is also important that if the patients have a pain, the physicians prescribe a trusted non-steroidal antiinflammatory drug, to reduce pain as much as possible. If needed, suppositories are also available. The physicians, in charge of the patients on chronic dialysis, must recognize the importance of risk control for fractures in dialysis patients, and keep in mind the environmental adjustments necessary concerning such patients. |