A construction worker presents to the emergency department with a high-pressure paint gun injection injury to the hand. Which of the following orders should the nurse question as it is contraindicated in the initial management of this injury?
The application of heat is contraindicated in the initial management of a high-pressure injection injury. Heat causes vasodilation, which would increase swelling, inflammation, and intracystic pressure in an already compromised area, potentially accelerating tissue necrosis and worsening compartment syndrome. Correct initial management includes elevating the extremity, immobilizing it with a splint, administering tetanus prophylaxis and broad-spectrum antibiotics, and arranging for an emergent surgical consultation for debridement.
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BCEN CEN
Musculoskeletal and Wound Emergencies
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