Nursing care in Open fracture both bone left leg with left below knee amputation and Closed fracture both bone right leg with Compartment syndrome: Case study

Abstract

A case study of male patients aged 27 years with the hospital. Accidents, truck collided with a car before coming to the hospital one an hour. Doctors diagnosed open fracture both bone left leg and  closed fracture both bone right leg. He treated immediately in the Emergency Room, by intravenous fluid, blood, antibiotic, oxygen cannula, and debridement with external fixation left leg in the operating room and on the long leg slab at right leg in admission date. In the following days there compartment syndrome of right leg  and treated by fasciotomy with external fixation. The left leg was surgical debridement of necrotic wound infection has not improved, thus making surgery below knee amputation. The nursing care major risk with shock due to blood loss in the left leg to bone fractures with open wounds, there is compartment syndrome right leg bone. The risk of complications, preoperative and postoperative depression due to left leg was amputated and anxiety in self-care when back home.

The Nurses play an important role in the nursing of patients with open fracture with shock, compartment syndrome.  This is an urgent and emergency of Orthopedics. Therefore, nurses must have knowledge and ability, skills in assessing patients' symptoms, rapid and accurate monitoring and care. The disease has recovered. Patients treated timely, accurate right leg had not to be amputation. After the nursing and care, patients feel better, respectively, and accept the fact that patients need to amputation the right leg. The stump was appropriate to use a prosthesis, no swelling, no pain, good movement; dry wound at right leg, ambulate with wheel chair; total length of stay for 25 days; discharge with drug and doctor continuous visit.