Published Aug 14, 2017
Summers3
201 Posts
Hello!
I have a question I can't seem to critically think about. When a pt verbalizes numbness/tingling, what is the significance and treatment for it?
I was told that in stroke/CVA pt, this might mean that they are regaining some of their sensation/feeling back. Of course, in diabetes, this means neuropathy. Or a potential side effect of medications that are new.
But what about in the general population? Or what if numbness/tingling is a new complaint in a patient who have not had any new changes such as medical condition, status, or new meds (numbness/tingling suddenly occurs)?
I was wondering if you recommend any websites for new nurses to follow to simply build upon more knowledge?
Thanks!
Lauraingalls, BSN, RN
169 Posts
Well it can be some sort of nerve issue. I for one have carpal tunnel and experience numbness and tingling every day.
Think of other degenerative nerve issues and you will find numbness and tingling as a symptom
NurseCard, ADN
2,850 Posts
Many times, yes it's likely a nerve issue. A patient who is suddenly
complaining of numbness/tingling in the right hand, right leg, without
any other symptoms, probably needs an MRI, if it doesn't go
away.
I believe that numbness/tingling in the left arm is possibly
cardiac related. Or is that just PAIN in that arm? Seems
like I've heard that there can also be numbness?
fello
4 Posts
Hey there, numbness and or tingling should make you think of nervous tissue. What kinds of things cause neevous tissue damage or insult? CVA- usually facial or one sided sensory loss or tingling. Diabetes- lower extremity nerve damage due to decreased small vessel blood supply to the nerves. Ortho/musculoskeletal- nerve impingement, myofascial swelling, compartment syndrome or direct nerve trauma.
These are some things to think of, but always take numbness and swelling as a sign of a nerve issue.
I use UpToDate for most of my info nowdays. From patho and treatments to prescribing and referrals. Be careful, you can waste a great deal of time on there.