Nursing care of patient with compartment syndrome post cast : case study

Abstract

     This study aimed to study nursing care process in patient compartment syndrome post cast
     Result : Case study. The male patient 35 year olds visited to Orthopedic Out Patient Department in King Narai Hospital on 6 January 2020. Severe pain and swelling post long leg cast was presented 2 days prior to visitation. Closed fracture of right proximol tibia from falling was diagnosis and long leg cast was done in private hospital. Nursing care were planned in 3 period. Nursing care before check up was the first period. There were signs and symtom of compartment syndrome, right limb swelling, pain, pale, paresthesis, pollar, abnormal sensory function were presented. Closely monitoring, falling prevention, positioning perform and clinical classification were done. Then medical record preperation and ergency coordinated for doctor, examination were managed. Nursing care during check up was secondary peroid. Closed fracture of right proximal tibia and compartment syndrome were diagnosis. Carefully cut splints was done by nurse. No muscle injuried and vessel injuried were occure. After that compartment syndrome was re-check. There were tibialis anterior muscle rigidity, dorsalis pedis pulsation grade 1 and blanching test more than 3
second. Minimal ankle flexion was showed by motor function test. Posterior long leg slab was done. Ergency fasiotomy was planned after admittion. Nursing care post check up was the third peroid. Patient was transfer to Emergency Room for Morphine injection. Closely side effect monitoring was performed. No side effect. Coordination for admitation and safety caring during patient transferred to Female Orthopedic Departmemt.