Author Question: Signs and symptoms of compartment syndrome in the lower extremities include (Select all that apply.) ... (Read 202 times)

leilurhhh · **on:** Jun 25, 2018

Signs and symptoms of compartment syndrome in the lower extremities include (Select all that apply.)

a. paresis.
b. increased pain.
c. pain in the affected extremity.
d. swelling in the affected extremity.
e. decrease pulses and capillary refill.
f. increase urinary output.

Question 2

Which medication is not recommended in the treatment of shock-related lactic acidosis?

a. Glucose
b. Sodium bicarbonate
c. Vasoconstrictor
d. Large quantity of crystalloids fluids

ririgirl15 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A, B, C, D
Clinical manifestations of compartment syndrome include obvious swelling and tightness of an extremity, paresis, and pain of the affected extremity. Diminished pulses and decreased capillary refill do not reliably identify compartment syndrome because they may be intact until after irreversible changes have occurred. Elevated intracompartmental pressures confirm the diagnosis.

Answer to Question 2

B
Sodium bicarbonate is not recommended in the treatment of shock-related lactic acidosis. Glucose control to a target level of 140 to 180 mg/dL is recommended for all critically ill patients. Vasoconstrictor agents are used to increase afterload by increasing the systemic vascular resistance and improving the patient's blood pressure level. Crystalloids are balanced electrolyte solutions that may be hypotonic, isotonic, or hypertonic. Examples of crystalloid solutions used in shock situations are normal saline and lactated Ringer solution.