NURSING 2A04 Study Guide - Final Guide: Fasciotomy, Diaphragmatic Breathing, Creatinine
2 May 2016
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You are completing mrs. tannenbaum"s third post op check on the day of her surgery for a total hip arthroplasty. You are completing her neurovascular assessment and note a significant increase in swelling in the area of her right hip radiating down her thigh. Her operative leg is much cooler than the non-operative one. She rated her pain as 8/10 and she is not due for morphine for another hour. Discuss what assessments you would complete when doing a neurovascular assessment and the rationale for each. Compartment syndrome: notify the doctor vitals pain medications fasciotomy. Assessment flowsheet must be done every hour along with vitals: 6 p"s ( pain, pallor(pale skin), paresthesia, pulse, poikilothermia (skin temp decrease), paralysis (very late stage) Dvt: you can have swelling, but it is usually in a very specific area. It is usually a result from lack of mobility. If you get a lot of edema/ bleeding/increased fluid in the muscles.
