What interventions exist to alleviate compartment syndrome

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Reference no: EM133988376

Assignment:

Marilyn Hughes is a 45-year-old female who suffered a left mid-shaft tibia-fibula fracture when she slipped on icy stairs this morning. She was taken to surgery for an open reduction with internal fixation (ORIF). She returned from surgery at 1:45 p.m. with a below-the-knee ace/splint dressing. Vital signs have been stable, and neurovascular checks have been within normal range. She has an IV of Lactated Ringer's infusing at 75 mL/hour and is tolerating liquids well without nausea. Her diet could probably be advanced to regular dinner this evening. A family member has been with her at the bedside throughout the day. She began complaining of pain shortly after returning from surgery and was given morphine 6 mg IV at 2:15 p.m. She is now on every-30-minute postoperative vital signs. Last vital signs were BP: 130/82, HR: 88, RR: 16.

Questions

1. How did the scenario make you feel?

2. How would you recognize that Marilyn Hughes' condition was deteriorating?

3. What interventions exist to alleviate compartment syndrome, and what assessments indicate improved perfusion to the extremity?

4. Why is it important to maintain the limb at heart level versus elevating it above heart level?

5. What could have happened in this scenario if Marilyn Hughes' condition was not treated expediently?

6. What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format.

7. What would you do differently if you were to repeat this scenario? How would your patient care change?

Reference no: EM133988376

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