The nurse is caring for a client with an intraosseous catheter placed in the leg 20 hours ago. Which assessment is of greatest concern?
a. Length of time catheter is in place
b. Poor vascular access in upper extremities
c. Affected leg cool to touch
d. Site of intraosseous catheter placement
C
Compartment syndrome is a condition in which increased tissue perfusion in a confined anatomic space causes decreased blood flow to the area. A cool extremity can signal the possibility of this syndrome. All other distractors are important. However, the possible development of a compartment syndrome requires immediate intervention because the client could require amputation of the limb if the nurse does not pick up this perfusion problem.
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