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Abdominal Aortic AneurysmsMedical-Surgical Nursing-7th edition

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How frequently are vitals taken while lowering a patient with an aortic dissection's blood pressure?
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Every 2 to 3 minutes
A(n) _________ aneurysm manifests with problems in the upper and lower body structures.
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Ascending
A(n) _________ aneurysm manifests with respiratory problems, deep diffuse chest pain, angina, dysphagia, and jugular venous distention.
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Thoracic
A(n) _________ aneurysm manifests with problems in lower extremities.
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Descending/abdominal
________ assists the nurse in determining fluid volume overload or depletion versus cardiac pump malfunction post abdominal aortic aneurysm grafting.
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Hemodynamic monitoring
Acute or Chronic Peripheral Artery Disease? Increased pain, pain at rest, decreased sensation, possibly edema.
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Acute PAD
__________ is given during an abdominal aortic rupture to keep the mean arterial pressure between 70 and 90. It is given when the systolic blood pressure is greater than 90.
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Dopamine
__________ is given during an abdominal aortic rupture to expand blood plasma to keep the blood pressure up.
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Hespan/hetastarch
__________ is given during an abdominal aortic rupture to decrease afterload.
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Nitroprusside with nitroglycerin (the nitroglycerin decreases the systemic side effects of nitroprusside)
__________ is given during an abdominal aortic rupture to increase the patient's blood pressure. It is typically given with a contractile agent.
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Neo-synephrine
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What are the complications of an abdominal aortic aneurysm rupture?
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Bleeding, infection, emboli, acute renal failure, decreased circulation, spinal cord ischemia which can lead to paralysis, loss of bladder/bowel control, and impotence.
Bleeding is a complication of an abdominal aortic aneurysm rupture, what should be closely monitored for this patient?
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Central venous pressure (indicates fluid volume status), hematocrit and hemoglobin, and pulmonary artery pressures (PAP).
How is peripheral artery disease (PAD) treated?
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Lifestyle modifications, statins, aspirin, Coumadin, Plavix, stents, angioplasty, grafts, amputation.
What assessments should be performed preoperatively for an abdominal aortic aneurysm repair?
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Neurovascular assessments including pallor, pulses, paresthesias, pain, paralysis. Bowel sounds and urine output baseline.
What medications can decrease afterload in patients with an abdominal aneurysm dissection or rupture?
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Nipride, prazosin, Captopril, hydralazine
________ is a medication given after grafting to treat peripheral artery disease to make the red blood cells more flexible and to decrease blood viscosity.
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Pentoxifylline/Trental
________ is a medication given after grafting to treat peripheral artery disease to inhibit platelet aggregation and cause vasodilation.
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Cilostazol/Pletal
_________ is a medication used in the treatment of a stable aortic dissection to decrease blood pressure and cardiac contractility.
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Esmolol
_________ is a medication used in the treatment of a stable aortic dissection to decrease a patient's heart rate.
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Propanolol
_________ are medications used in the treatment of a stable aortic dissection to treat hypertension.
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Nitroprusside, labetalol, and nitrite.
_________ is a medication used in the treatment of a stable aortic dissection to manage pain.
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Morphine, or if severe, Versed
  
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