Updated 2016 medical treatment goal decrease

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

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

Updated 2016

Updated 2016
Embolectomy and
Thrombectomy

Restores blood flow and
oxygenation

Can be surgical emergency

Updated 2016
Fogarty Catheters

Indicated for the removal of fresh,
soft emboli and thrombi from
vessels in the arterial system

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

Updated 2016
Bypass

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

Updated 2016
Angioplasty

Open plaque blocked arteries

Balloon or laser

Updated 2016
Stents

Support to the artery walls to keep
them open

Updated 2016
Complications of
Vascular Surgeries

Bleeding and hemorrhage

Reocclusion

Hematoma

Neurological dysfunction

Volume deficit

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

Updated 2016
Preoperative Vascular
Nursing Diagnoses

Acute or chronic pain

Anxiety

Deficient knowledge

Updated 2016
Postoperative Vascular
Nursing Diagnoses

Pain

Ineffective airway clearance

Risk for infection

Ineffective tissue perfusion

Deficient knowledge

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

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

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

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?