— 降低風險 · HARD · SATA —
護理師照護一位下肢剛上石膏的病人。哪些發現應通報醫師為腔室症候群的徵象？（選所有適合的）
A nurse is caring for a client with a new cast on their lower leg. Which findings should the nurse report to the provider as signs of compartment syndrome? (Select all that apply.)
- APain out of proportion to the injury✓ 正解疼痛程度與受傷情況不成比例
- BParesthesia (numbness or tingling)✓ 正解感覺異常（麻木或刺痛感）
- CPallor of the toes✓ 正解腳趾蒼白
- DWarmth at the site of the cast石膏部位發熱
- EPulselessness in the distal extremity✓ 正解遠端肢體無脈搏
— Explanation · 中文詳解 —
腔室症候群的 5P 指標包含：Pain（異常劇烈疼痛）、Paresthesia（感覺異常）、Pallor（蒼白）、Pulselessness（無脈搏）及 Paralysis（麻痺）。D 選項錯誤，局部發熱通常是發炎反應，非腔室症候群的典型缺血徵象。此為骨科術後最嚴重的併發症之一。
Compartment syndrome is identified by the 5 Ps: pain out of proportion to injury, paresthesia, pallor, pulselessness, and paralysis. Warmth suggests inflammation rather than the ischemia associated with this condition.
✦ 台美臨床差異
美台護理臨床對於骨科術後使用神經血管觀察表（Neurovascular Assessment Checklist）的規範非常相似。