Assessment
How would recognized that that Marilyn Hughes’ condition was deteriorating? Provide three sign and symptoms
Pain: Severe, persistent pain that is out of proportion to the initial injury and worsens with activity.
Swelling: Visible swelling and tightness in the affected area.
Numbness and tingling: Pins-and-needles sensation, numbness, or paralysis in the affected limb.
Weakness: Muscle weakness or inability to move the affected limb.
Loss of sensation: Inability to feel touch, temperature, or pain in the affected area.
Shiny skin: The skin may appear shiny, pale, or cold.
When monitoring Ms. Hughes for possible complications following the surgical repair of a fracture, it is important for the nurse to be alert for development of which of the following conditions? (Select all that apply.)
Rationale:An embolism in the vein has the potential to cause pulmonary embolism or a clot in the extremity resulting in deep vein thrombosis, leading to increased swelling. This swelling can cause decreased blood flow, resulting in the development of compartment syndrome for the client. Iron deficiency and medial epicondylitis are not related to this type of surgical repair.
What could have happened in this scenario if the condition was not treated expediently?
permanent muscle and nerve damage can occur, leading to loss of function in the affected limbwhat. In severe cases, this can result in paralysis, the need for amputation, or, in rare instances, death due to complications like rhabdomyolysis, which releases toxins into the bloodstream and can cause multi-organ failure.
What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format.
Key elements of the handoff should include focused assessment, history, medications administered, and interventions specific to compartment syndrome
The nurse understand that assessing neurovascular function in a client with a brace splint or cast is very important. What should the nurse assess?
neurovascular assessment findings indicate neurovascular compromise, including Pain, Paresthesia, Pallor, and Paralysis, Pulseless.
What are the risk factor that put Marilyn Hughes at risk for fractures and complications?
She experience fall follow by fracture
Gender, Age (Osteoporosis)
Fall risk =ice stair
What could have happened in this scenario if Marilyn Hughes’ condition was not treated expediently?
If not treated promptly, compartment syndrome can lead to permanent nerve damage, muscle necrosis, and even amputation. Late signs include: Pulselessness, Absence of sensation, and Paralysis.
What interventions exist to alleviate compartment syndrome?
It's important to seek immediate medical attention if you suspect compartment syndrome. Early diagnosis and treatment are crucial to prevent permanent nerve damage and other complications.
Relieving the pressure is essential
maintaining extremity at heart level
If you were to have the opportunity to redo your scenario , how would your nursing care change?
?????????