Provide more analgesics at recommended/prescribed intervals. To assess the effectiveness of treatment. The 10-point pain scale is a globally recognized pain rating tool that is both accurate and effective.Īdminister analgesics/ pain medications as prescribed.Īsk the patient to re-rate his/her acute pain 30 minutes to an hour after administering the analgesic. To create a baseline set of observations for the patient. Ask the patient to rate the pain from 0 to 10, and describe the pain he/she is experiencing. Nursing Diagnosis: Acute Pain related to compartment syndrome as evidenced by pain score of 10 out of 10, paresthesia, pallor, pulselessness, and cramping on the affected body regionĬompartment Syndrome Nursing InterventionsĪssess the patient’s vital signs. Nursing Diagnosis Compartment Syndrome Compartment Syndrome Nursing Care Plan 1 No dressings should be kept on the compartment. This includes as administration of analgesia for pain. Improving perfusion of the limbs through intravenous fluids is often required. Maintain or improve blood oxygen level to help perfuse the compartment with enough oxygen. Keeping the limb in neutral level to avoid overwhelming the affected area with too much blood flow.
#Symptoms of compartment syndrome in lower leg skin
A skin incision is made and is left open for a period until the pressure is relieved. This is a surgical procedure to relieve swelling and pressure in the compartment. Creatinine-kinase – CK levels can also be measured to identify the presence of the by-products of muscle cell destruction.It is typically done when the clinical manifestations are not enough to make a diagnosis. It measures the pressure in the compartment with the use of a pressure monitor connected to tiny needle or catheter which is then inserted to the compartment. Intra-compartmental pressure monitor – this is the most reliable diagnostic test in compartment syndrome.The presence of severe pain incomparable to the injuries incurred is important in supporting the diagnosis. Physical examination and medical history – the diagnosis of compartment syndrome is highly dependent on the clinical manifestations.Compartment syndrome may lead to amputation if medical treatment is not immediately given. This may occur due to the build-up of muscle destruction by-products. It is rarely associated with compartment syndrome and is one of the complications to watch out for. This is a condition where the skeletal muscles break down. Permanent loss of function of the tissues and muscles involved may be possible due to the lack of blood supply. The pressure may block or occlude nerves and blood vessels traversing the compartment leading to permanent damage. Permanent damage to nerve or blood vessels.Vigorous abdominal exercises such as sit ups on a back extension machine.Abdominal surgery, specifically with liver transplant.Surgery to blood vessels of an arm or legĬhronic compartment syndrome – the most affected parts are lower leg, buttock, and thigh.Ībdominal compartment syndrome – this type may develop immediately after a severe injury, surgery, or during a critical illness needing life support.Prolonged compression of a limb during a period of unconsciousness.
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