The most important for the nurse to assess Neurovascular status.
What is Neurovascular status?
- Elevate limb, no higher than heart level.
- Split plaster casts or cut/remove the bandage.
- Maintain limb alignment.
- Notify the treating team.
- If neurovascular status improves keep the affected limb elevated and continue to monitor closely.
- If the neurovascular status does not improve or continues to deteriorate, the patient may need to attend theatre for pressure monitoring and/or fasciotomy.
- For cardiac catheter patients:
- If any changes to neurovascular observations (i.e. decrease in pulse pressure, change in limb color, or coolness of limb), escalate by notifying the treating team or catheterization fellow.
- Consider the need for an ultrasound conducted to confirm or rule out a thrombus
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