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Compartment Syndrome Nursing NCLEX Review Question on Interventions and Neurovascular Assessment

Compartment syndrome nursing NCLEX review practice question on the nursing interventions and neurovascular assessment for this condition. Compartment syndrome occurs when too much pressure is exerted within the muscle compartments found within the fascia. This can occur when there is hemorrhaging (bleeding) or swelling present after an injury, like with a bone fracture (or with external factors like a cast being too tight or traction). All this can increase the pressure within the compartments. As the pressure builds, this will cut off the blood supply and nerve function to this muscle. If not corrected within 6 hours, the damage is permanent. Remember from anatomy and physiology that in the leg and arm there are individual compartments grouped together (but separated from one another) that contain bone, muscle, nerves, and vessels. Each compartment usually has its own muscle, nerve, and vessel supply. Fascia is what keeps all these structures in place and separated. The important thing to remember about fascia when talking about compartment syndrome is that is does NOT expand when pressure increases within a compartment (so there will be no relief within the compartment from the fascia). Instead the pressure stays within the compartment and causes blood vessel and nerve function to become compromised (diminished). So, ischemia is going to occur to the muscle and distal extremity to the fracture. Nursing interventions include: keeping the extremity AT HEART level (NOT below....remember you want to maintain arterial pressure and elevating it above heart level will cause more ischemia), loosen and remove restrictive items, notify the physician, perform neurovascular checks (6 P's), prepare the patient for possible bivalvement of the cast, reduction of weight in the traction, or in severe cases fasciotomy. NCLEX Practice Questions: https://www.registerednursern.com/nur... Notes: https://www.registerednursern.com/com... More Musculoskeletal Reviews:    • Musculoskeletal Nursing Lectures for ...   More Weekly NCLEX Question Videos:    • NCLEX Practice Question of the Week   Instagram:   / registerednursern_com   Facebook:   / registerednurserns   Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Popular Playlists: NCLEX Reviews:    • NCLEX Study Strategies   Fluid & Electrolytes:    • Fluid and Electrolytes Nursing   Nursing Skills:    • Nursing Skills Videos   Nursing School Study Tips:    • Nursing School Study Tips   Nursing School Tips & Questions"    • Nursing School Tips & Questions   Teaching Tutorials:    • Teaching Tutorials   Types of Nursing Specialties:    • Types of Nursing Specialties   Healthcare Salary Information:    • Healthcare Salary Information   New Nurse Tips:    • New Nurse Tips   Nursing Career Help:    • Nursing Career Help   EKG Teaching Tutorials:    • EKG/ECG Interpretation   Dosage & Calculations for Nurses:    • Dosage Calculations Nursing   Diabetes Health Managment:    • Diabetes Health Managment