Updated 2016 Medical Treatment Goal Decrease edemaheal ulcerations Compression

Updated 2016 medical treatment goal decrease

This preview shows page 130 - 148 out of 149 pages.

Updated 2016 Medical Treatment Goal: Decrease edema/heal ulcerations Compression wraps Bed rest with elevation of legs Avoid prolonged standing/sitting Walk Skin ulcers: Unna boot Skin grafts
Image of page 130
Updated 2016 Nursing Interventions Wound Care Emotional support Education Elevate legs Protect legs from injury Do not cross legs/wear tight clothing Avoid heating devices Apply compression from foot upward
Image of page 131
Updated 2016
Image of page 132
Updated 2016 Embolectomy and Thrombectomy Restores blood flow and oxygenation Can be surgical emergency
Image of page 133
Updated 2016 Fogarty Catheters Indicated for the removal of fresh, soft emboli and thrombi from vessels in the arterial system
Image of page 134
Updated 2016 Vascular Bypasses and Grafts Bypass: Graft anastomosed to artery tunneled past occlusion anastomosed to artery Graft Repair: Diseased area of blood vessel Video-assisted aortofemoral bypass Arteriovenous (AV) grafts or fistulas
Image of page 135
Updated 2016 Bypass
Image of page 136
Updated 2016 Arteriosclerotic plaques dissected Carotid artery common Artery clamped on both sides of occlusion, incision made, plaque removed, artery irrigated, clamps removed, skin sutured Endartectomy
Image of page 137
Updated 2016 Angioplasty Open plaque blocked arteries Balloon or laser
Image of page 138
Updated 2016 Stents Support to the artery walls to keep them open
Image of page 139
Updated 2016 Complications of Vascular Surgeries Bleeding and hemorrhage Reocclusion Hematoma Neurological dysfunction Volume deficit
Image of page 140
Updated 2016 Nursing Care Post Vascular Surgery Pain level- scale 0 to 10 Check all IVs and drains Neurovascular checks Q 15 min x 2hrs then q 30 min x 1 – 3 hrs If any pulse diminished or dusky extremity- call MD immediately Incision care Fluid status
Image of page 141
Updated 2016 Preoperative Vascular Nursing Diagnoses Acute or chronic pain Anxiety Deficient knowledge
Image of page 142
Updated 2016 Postoperative Vascular Nursing Diagnoses Pain Ineffective airway clearance Risk for infection Ineffective tissue perfusion Deficient knowledge
Image of page 143
Updated 2016 Lymphangitis Inflammation/infection lymphatic channels (Staph or Strept bacteria) Dx: based on symptoms, increased HR S/S: Pain, red streak, chills and fever Tx: Antibiotic, heat, elevate, pneumatic pressure devices, anti-inflammatory Monitor site to prevent complications
Image of page 144
Updated 2016 Questions Which of the following is a risk factor that can be controlled to prevent the development of CV disease? Family h/o CV disease Hypertension Ethnicity Family history of DM
Image of page 145
Updated 2016 Which of the following is the purpose of CABG surgery? Cure coronary artery disease Increase blood flow to the myocardium Prevent spasms of the coronary arteries Decrease blood flow to the coronary arteries
Image of page 146
Updated 2016 The nurse is caring for a pt who has PAD. Which of the following statements by the patient indicates understanding of how to manage the pain?
Image of page 147
Image of page 148

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture