Hip Fracture

Body Systems › Musculoskeletal System › Hip Fracture
MSK Clinical reference

Hip Fracture

Hip fracture in elderly (usually osteoporotic) has 20-30% 1-year mortality. Surgery within 48 hours improves outcomes. Types: femoral neck (intracapsular) and intertrochanteric. Comprehensive geriatric care essential.

hip fracture femoral neck fracture intertrochanteric fracture proximal femur fracture
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Common tests

Tests performed

X-ray hip/pelvis (AP + lateral) MRI (occult fracture) CBC BMP Coags (pre-op) ECG Chest X-ray
Common medications

Recognize the drug and the class

DVT prophylaxis: Enoxaparin or Rivaroxaban Pain: Fascia iliaca nerve block, IV acetaminophen, opioids PRN Osteoporosis treatment (post-op) Avoid: prolonged bed rest, Foley catheter (remove day 1-2) Delirium prevention: early mobility, orientation
Related nursing diagnoses

NANDA diagnoses & care plans

Use these direct links to open nursing diagnoses and care-plan support related to Hip Fracture.

Acute Pain Impaired Physical Mobility Risk for DVT Risk for Delirium Risk for Pressure Injury