There is concern that a client wearing a long leg cast is at risk for developing compartment syndrome due to swelling
The nurse caring for the client shows the best understanding of the complication and its specific treatment by gathering the following equipment: 1. Ace bandages, to wrap around the bi-valved cast.
2. Extra pillows, to elevate the casted extremity above the heart.
3. A Doppler, to aid in assessing the strength of peripheral pulses.
4. A percussion hammer, to physically assess reflexes for damage.
Ace bandages, to wrap around the bi-valved cast.
Rationale: Compartment syndrome occurs when excess pressure in a limited space constricts the structures within a compartment, reducing circulation to muscles and nerves. With increased edema, this event threatens the viability of the client's limb and increases the risk of sepsis. Treatment can include removing the cast entirely or bi-valving it (splitting it apart with a cast cutter) and securing the two sides with ace wraps, tape, or Velcro straps. If the pressure is internal, a fasciotomy might be necessary. Elevating the leg above the heart would compromise circulation. A Doppler could be used to assess pulses, and a percussion hammer to check reflexes, but these are not therapeutic treatments specific for compartment syndrome.
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