— 生理適應 · MEDIUM · SATA —
護理師照護一位左手臂剛打石膏的客戶，哪些發現指出神經血管受損？（選所有適合的）
A nurse is caring for a client with a new cast on the left arm. Which findings indicate neurovascular impairment? (Select all that apply.)
- ACapillary refill of 5 seconds✓ 正解微血管回充時間 5 秒
- BParesthesia in the fingers✓ 正解手指感覺異常
- CInability to wiggle the fingers✓ 正解無法活動手指
- DPain relief after medication administration給藥後疼痛緩解
- ESkin warmth distal to the cast石膏遠端皮膚溫熱
— Explanation · 中文詳解 —
石膏過緊可能造成腔室症候群。神經血管評估重點在於 5P 徵象：蒼白 (Pallor)、疼痛 (Pain)、感覺異常 (Paresthesia)、癱瘓 (Paralysis)、無脈搏 (Pulselessness)。微血管回充 >3 秒代表血液灌流不足；感覺異常與運動能力喪失亦為神經壓迫徵象。
A tight cast may cause compartment syndrome. Neurovascular assessment uses the 5 Ps: Pallor, Pain, Paresthesia, Paralysis, Pulselessness. Capillary refill > 3 seconds indicates poor perfusion; paresthesia and loss of motor function indicate nerve compression.
✦ 台美臨床差異
美台皆強調石膏照護與腔室症候群警覺，台灣護理師更常協助進行石膏邊緣修整衛教。