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NUR 2214 Test 1
- Compartment syndrome S/S
- Pain
not relieved by analgesics or elevation
- Pulselessness
no palpable pulse in compartment or distal to the fracture
- Pallor
pale skin, poor perfusion, CRT >3
- Paraesthesia
tingling / burning sensation
- Pressure - Involved area tense and warm; skin tight / shiny; pressure in compartment when
elevated
- Compartment syndrome 1 / 4
what to do
- what will be needed?
Take off the cast Fasciotomy
- Hip replacement
- post op management
Abduction pillow Neuro checks
Stay hydrated Repositioning
- When do you manage pain?
Before it gets bad. It is more difficult to treat breakthrough pain.
- Pain medication Classifications
Opioids Non-Opioids
Adjunct pain medications 2 / 4
- Who is the best person to know about the patient's pain?
The patient
- What is the best way for the patient to manage their pain?
PCA pump
- Collie's Fracture
Wrist fracture that occurs when someone falls, sticks out their hands / arms to catch themselves, and then fracture the wrist.
- Compartment Syndrome vs Fat embolism
Fat embolism
when bone breaks, and fat travels through the blood vessels to another part of the body
Compartment Syndrome
when internal bleeding / swelling fills the compartment.
- Meds to treat cerebral palsy 3 / 4
Botox Baclofen
Flexaril
- Baclofen - why give it for cerebral palsy?
loosens spastic muscles through- out the body
- Botox - why give it for cerebral palsy?
Reduce spasticity in targeted muscles
- Pt on continuous IV pain medication has decreased respiratory rate or effort. What do you
do? Why?
Stop the infusion - so patient does not go into respiratory arrest.
- Fractures
- Classifications
- Complete
- Incomplete
- / 4
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