— 降低風險 · HARD · SATA —
護理師照護一位手臂剛上石膏的病人。下列哪些症狀需立即報告，以防腔室症候群（Compartment Syndrome）？（選所有適合的）
A nurse is caring for a client with a new cast on their arm. Which signs should be reported immediately as potential compartment syndrome? (Select all that apply.)
- APain that is unrelieved by medication✓ 正解藥物無法緩解的疼痛
- BCoolness of the extremity✓ 正解肢體冰冷
- CParesthesia in the fingers✓ 正解手指異常感覺
- DIncreased mobility of the arm手臂活動度增加
- EInability to move the fingers✓ 正解無法活動手指
— Explanation · 中文詳解 —
腔室症候群的 5P 徵兆：Pain（藥物無效）、Pallor（蒼白）、Paresthesia（異常感覺）、Pulselessness（脈搏消失）、Paralysis（癱瘓）。石膏過緊是常見原因，一旦發現手指麻痺、疼痛劇烈或肢體冰冷，應立即報告以利拆除石膏。
The 5 Ps of compartment syndrome are pain (unrelieved by medication), pallor, paresthesia, pulselessness, and paralysis. A cast that is too tight is a common cause; once finger numbness, severe pain, or coolness of the extremity is detected, immediate reporting is required so that the cast can be removed.
✦ 台美臨床差異
腔室症候群在台美皆被視為矯形外科的緊急醫療事件（Orthopedic emergency）。