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20 Cards in this Set
- Front
- Back
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Antiplatlet drugs are ?, ?, ? these meds inhibit ? aggregation to increase ? flow. S/E ?,
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ASA, clopidogrel(plavix), Trental
platelet,blood, bleeding |
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Non-surgical procedures for PAD: ?, laser assisted ? which vaporizes plaque, or an ? can be performed where a ? scrapes the plaque away usually in the femorals.
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angioplasty, angioplasty,
atherectomy, rotoblater |
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A surgery that can be performed for arterial vascularization is ? occlusion using synthetic ? or multiple ? segments. Other bypasses include femoral ? ,femoral ? , and Subclavian axillo ? bypass.
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bypass,
grafts, vein, tibial, popliteal, femoral |
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For post-op care for pts recovering from PAD disease the RN should promote graft ? check to see if ? is WNL. The pt may be on ? with ? limitations. Monitor site for ?,?,? If the pt has pain similar to pre-surgery pain this is an ? and should be reported immediately to the ?
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patency,
BP, bed rest, mobility, color, temp, pulse, alert, physician |
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The 6 P's of acute arterial occlusion are :
?,?,?,?,?,? Tx for this includes ?,?,? |
Pain, pulselessness, paralysis, pallor,
paresthesia, Poikilothermia(cold temp), heparin, embolectomy, thrombolytics |
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Compartment syndrome is when tissue pressure ?s blood flow causing ? and ? S/S include severe ?, ?,
? tenseness, poor ? refill. |
restrict,
ischemia, tissue death, pain, edema, muscle, capillary |
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What quality measures need to be taken to make sure the pt knows how to reduce PAD. smoking ? counseling,
take meds such as ? and ? meds. the pt can have supervised ?, |
cessation,
statins, antiplatelet, exercise |
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A beta-blocker has been prescribed to tx a pt with resistant hypertension. Which of the following assessment finding indicates the drug is working well?
1. BP was 160/95, it is now 142/90 2. HR was 110, it is now 80 3.BP was 146/90 and is now 130/84 4. HR was 90, it is now 98 |
3. 146/90 down to 130/84
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When performing a physical exam on a pt with a dx of PAD the nurse would expect to observe what manifistation.
1. lower back pain at rest 2. Non-healing ulcers on the ankles, 3. foot becomes pale when dangling 4. absent posterior tibial pulses |
4. absent posterior tibial pulses
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a pt had a right femora popliteal bypass fraft four hrs ago. which assessment findings should the RN communicate immediately to the surgeon?
1. The right foot is warm, red, and edemetious 2. the left foot has a weak pulse, 3. the pt complains of right leg pain 4. the foot is pale and has poor capillary refill |
4. the foot is pale and has poor capillary refill
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A permanent localized dilation of an artery which enlarges the artery to at least two times its normal size is an ?
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aneurysm
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Aneurysms are caused by ?, ?, ?, and ? syndrome which is when there is a cyst in a vessel layer.
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Atherosclerosis, HTN, Syphillis, Marfan's
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? of an aneurysm is the most frequent complication and is life threatening b/b abrupt and massive ? shock results.
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Rupture,
hemorrhagic |
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To Dx an abdominal aortic aneurysms there will be a visible pusatile ? in the upper-mid abdomen, a ? can be heard over the mass with a stethoscope and the pt may feel a steady gnawing pain in the ?, ?, ? that last for ? or ?
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mass,
bruit, abdomen, back, flank, hours, days |
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To Dx an thoracic aortic aneurysm there will be a pulsing mass above the ? notch. The pt will have ?,?, difficulty ? and will have ? pain.
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sternal,
SOB, hoarseness, swallowing, back |
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? is the standard tool for assessing size and location of abdominal and thoracic aneurysms. They can be seen with ? and ? too.
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CT,
x-ray, ultrasound |
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An aneurysm may result in ineffective tissue perfusion in order to manage this we need to control ?, teach ? cessation, lower ?, and get regular ?s to monitor the size of the aneurysm.
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BP,
smoking, cholesterol, Cat Scans |
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Enodvascular aneurysm repair has a ? recovery period. Other types of surgery are the AAA ? and the ? repair.
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quick,
resection, Thoracic |
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In the thoracic repair the ? is stopped while the surgery is performed.
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heart
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Hypovolemia and acute renal failure may occur b/c of blood loss during surgery or before if rupture occurred. We should assess uring output hourly. If urine output is less than ?ml/hr we need to call the surgeon immeditely.
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<50ml/hr
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