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25 Cards in this Set
- Front
- Back
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Aortic aneurysm
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dilation of arterial wall from weakness and stretching in the medial layer or wall of artery
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Goal of treatment for aneurysm
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controlling BP, limiting progression of disease
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Fusiform aneurysm
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diffuse dilation involves entire circumference of arterial segment
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Saccular aneurysm
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distinct localized outpouching of artery wall
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Dissecting aneurysm
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created when blood separates layers of artery wall, froming cavity between them
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Psuedoaneurysm
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occurs when clot and connective tissue are outside arterial wall, results from vessel injury to all three layers of artery wall
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Pain assessment for thoracic aneurysm?
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pain extending to neck, shoulders, lower back or abdomen
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Symptoms of thoracic aneurysm?
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syncope, dyspnea, tachycardia, cyanosis, difficulty swallowing
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Symptoms of abdominal aneurysm?
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prominent pulsating mass in abdomen at or above umbilicus, systolic bruit over aorta, abdominal or lower back pain
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Symptoms of rupturing aneurysm?
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severe abdominal or back pain, lumbar pain radiating to flank and groin, hypotension, increased pulse rate, signs of shock, hematoma at flank area
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Diagnostic testing?
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abdominal US, CT, and arteriography
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Call the physician if these signs occur?
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severe back or ABD pain, discoloration in extrem, elevated BP
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Thoracic aneurysm symptoms to report to physician immediately?
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CP, SOB, difficulty swallowing or hoarseness
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Meds?
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antihypertensives
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Abdominal aortic aneurysm resection?
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surgical resection or excision of aneurysm, replaced with graft
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Signs of graft occlusion?
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changes in pulses, cool to cold extrem below graft, white or blue extrem or flank, severe pain, abd distention
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Do not elevate head of bed ____
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to 45 degrees
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Notify physician if urine output is lower than ____.
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30-50 ml/hr.
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Monitor ___.
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creatinine and BUN levels for renal failure
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Posteroperatively, do not ___.
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lift objects heavier than 15-20 pounds for 6-12 weeks
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Thoracic aneurysm repair
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thoracotomy or median sternotomy, aneurysm exposed and excised, graft sown into aorta
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Total cardiopulmonary bypass necessary for excision of ___.
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aneursyms in ascending aorta
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Partial cardiopulmonary bypass necessary for excision of ___.
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aneurysms in descending aorta
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Monitor chest tubes for increase in chest drainage which may indicate ____.
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bleeding or separation at graft site
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Deficits in sensation and motion in extrem may indicate ___.
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lack of blood supply to spinal cord during surgery
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