What condition should the nurse monitor for in a 24-year-old man who was trapped in his vehicle for 45 minutes after a motor vehicle collision?
The nurse should monitor the patient for compartment syndrome due to the mechanism of injury and presenting injuries.
Understanding Compartment Syndrome
Compartment syndrome is a serious condition that can occur after a traumatic injury, such as being trapped in a motor vehicle during a collision. In this case, the patient's legs were pinned during the impact, leading to potential damage to the tissues and blood vessels in the affected area.
Signs and Symptoms
The key signs and symptoms of compartment syndrome include:
- Severe pain in the affected area
- Swelling and tightness
- Numbness or tingling
- Changes in color or temperature of the skin
Monitoring and Intervention
It is essential for the nurse to closely monitor the patient for any signs of compartment syndrome, especially in the legs where the pressure and damage are most likely to occur. If compartment syndrome is suspected, prompt action is crucial to prevent permanent tissue damage.
Treatment
If compartment syndrome is diagnosed, the healthcare team may need to intervene by:
- Releasing pressure by cutting open tight clothing or removing constrictive items
- Performing a surgical procedure called a fasciotomy to relieve the pressure and restore blood flow
By monitoring the patient closely and being aware of the signs and symptoms of compartment syndrome, the nurse plays a vital role in preventing further complications and ensuring the patient's well-being.