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17 Cards in this Set

  • Front
  • Back

Interpret client history and case study

What is the patient doing in hospital? what is their diagnosis/history?

Identify the appropriate client history and indication

.

Perform hand hygiene

.

Demonstrate evidence of therapeutic interaction with the client

Give the client a clear explanation of the procedure. What will you be doing? what does it mean? what does it involve?

Gain consent or handle refusal

.

Perform hand hygiene

.

Gather equipment

Neurovascular assessment chart


Pen

Perform hand hygiene

.

Demonstrate problem solving abilities

WHS awareness: raise bed to appropriate height.


Close curtains to provide privacy, etc.

Pain assessment

P: what provokes the pain?
Q: what is the quality of the pain?
R: does it radiate?
S: scale of 1-10?


T: when did it start?

Assess the limb DISTAL to the injury/surgery

Compare with unaffected limb for:


colour


temperature


sensation


motor function


cap refill time


swelling


peripheral pulse

Perform hand hygiene

.

Document accurately and reports relevant information

.

What may cause a decreased pulse in affected limb?

Compartment syndrome involves the blood vessels throughout the limb becoming constricted; this would result in a decreased pulse.

What are the signs of compartment syndrome?

The 5 P's of Compartment Syndrome are:


Pain, Pallor, Paralysis, Parathesia, and Poikilothermia (change in temperature). Pulselessness is a late, ominous sign.

Is acute compartment syndrome an emergency?

Yes! Early detection is key to avoiding poor circulation, tissue death/necrosis, or permanent neural damage.

What is the emergency treatment/s for compartment syndrome?

MET call


Removal of POP or back slab


Emergency fasciotomy surgery (in theater or room)