kasper

Could anyone please elaborate this for me.... I am having this mental understanding of the last two. What is a compartment syndrome????? 5P'S OF NEUROVASCULAR ASSESSMENT Pain Determine amount and severity of pain if present.Ask client for descriptions;avoid coaching client with words to describe pain Ratioanale-manipulation and reduction may produce dull,aching pain as a result of pressure on nerve endings.Clients vary in perception and tolerence of pain. Pallor Observe color of tissues distal of cast Rationale-pink indicates arterial pressure is normal,whitish color signifies decreased arterial supply, and bluish color signifies venous stasis. Pulselessness When possible palpate distal pulse of casted extremity;note presence and strength of pulse.assess capillary refill by pressing on toenail or fingernail if cast is on extremity,releasing and noting pinking of nail;nail should pink up in 3 seconds or less. Rationale-weak and absent pulse may indicate decreased circulation.Blanching on pressure with subsequent capillary refill is indicative of arterial perfusion.Capillary refill is too sluggish if refill takes more than 3 seconds.It takes 2 seconds to say capillary refill is slowly and 4 seconds to repeat it once Paresthesia Assess for numbness,tingling, or abnormal sensations. Rationale-may indicate nerve damage and/or development of compartment syndrome Paraplegia Assess for motion Rationale-may indicate nerve damage and/or development of compartment syndrome

Esme12, KelRN215, 2013SNGrad & GrnTea thank you for the support that you guys, as a group, have given me with this Scenario. As a first year into Nursing I am a little nervous about the findings I have found, but I do believe that the assignment that is given to me is base-line research. 2013SNGrad: I did think of that in a sense that usually the patient would be on about 4L or less right? Would it be because of Lung contusions or Liver laceration?

Glasgow Coma Scale: this is composed of three tests, Eye Verbal & Motor response right? what do you mean by "a normal score" cause is there such thing as a normal coma score?

I am in my first year of my nursing and from what I have researched so far, is that every vital signs in this scenario is within range but the client's pulse. It seems to be quite high. Am I heading in the right directions?

Scenario: The patient is a 30 year old female who has been involved in a MVA. She sustained multiple injuries which included: # Nose; # L) NOF; Compound fracture right tibia and fibula; Multiple grazes and wounds over her face, arms and legs; A contusion on her forearm; Lung contusions; Liver laceration; & oozing laceration above her right eye. Patient's observation on admission are as follows: BP-110/80; R-18; P-90; T-36.5; SPo2-98% on Hudson mask 6L; GCS-15; & Pupils- PEARL size 2. Question: are these observations within normal range for a healthy women for this age?