Musculoskeletal

Question 1

compartment syndrome

Answer 1

Early manifestations associated with compartment syndrome, including paresthesia of the affected extremity and pain unrelieved by a prescribed opioid analgesic.

✓ Signs and symptoms of compartment syndrome include pain unrelieved by an opioid and aggravated by passive exercise.

✓ One of the earliest manifestations of compartment syndrome is paresthesia.

✓ Other manifestations include –

➢ Pallor

➢ Uncontrolled pain in the affected extremity

➢ Pulselessness

➢ Paralysis

✓ Tibial fractures, recent casting, and splinting are significant risk factors for compartment syndrome.

✓ The nurse should immediately loosen any restrictive dressings if compartment syndrome is suspected and keep the extremity at the level of the heart.

✓ Prompt physician notification is essential if this complication is suspected.