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Updated 2016Medical TreatmentGoal: Decrease edema/heal ulcerations Compression wraps Bed rest with elevation of legs Avoid prolonged standing/sitting Walk Skin ulcers: Unna bootSkin grafts
Updated 2016Nursing InterventionsWound CareEmotional supportEducationElevate legsProtect legs from injury Do not cross legs/wear tight clothing Avoid heating devicesApply compression from foot upward
Updated 2016Embolectomy and ThrombectomyRestores blood flow and oxygenation Can be surgical emergency
Updated 2016Fogarty CathetersIndicated for the removal of fresh, soft emboli and thrombi from vessels in the arterial system
Updated 2016Vascular Bypasses and GraftsBypass: Graft anastomosed to artery tunneled past occlusion anastomosed to arteryGraft Repair: Diseased area of blood vesselVideo-assisted aortofemoral bypassArteriovenous (AV) grafts or fistulas
Updated 2016Arteriosclerotic plaques dissected Carotid artery commonArtery clamped on both sides of occlusion, incision made, plaque removed, artery irrigated, clamps removed, skin suturedEndartectomy
Updated 2016AngioplastyOpen plaque blocked arteries Balloon or laser
Updated 2016StentsSupport to the artery walls to keep them open
Updated 2016Complications of Vascular SurgeriesBleeding and hemorrhage ReocclusionHematoma Neurological dysfunction Volume deficit
Updated 2016Nursing Care Post Vascular SurgeryPain level- scale 0 to 10Check all IVs and drainsNeurovascular checks Q 15 min x 2hrs then q 30 min x 1 – 3 hrsIf any pulse diminished or dusky extremity- call MD immediately Incision careFluid status
Updated 2016LymphangitisInflammation/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 2016QuestionsWhich of the following is a risk factor that can be controlled to prevent the development of CV disease?Family h/o CV diseaseHypertensionEthnicityFamily history of DM
Updated 2016Which of the following is the purpose of CABG surgery?Cure coronary artery diseaseIncrease blood flow to the myocardiumPrevent spasms of the coronary arteriesDecrease blood flow to the coronary arteries
Updated 2016The 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?