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Abdominal Aortic AneurysmsMedical-Surgical Nursing-7th edition

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Question Answer
_________ is a medication used in the treatment of a stable aortic dissection to manage pain.
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Morphine, or if severe, Versed
What is the goal mean arterial pressure for a patient with a stable aortic dissection?
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70 to 80
What is the goal heart rate for a patient with a stable aortic dissection?
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60-80
A patient with a stable aortic dissection should be on bed rest, with the bed in a __________ position.
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Semi-Fowler's
Arterial or Venous Insufficiency? Ulceration on the medial malleolus, with a jagged irregular border. Painful.
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Venous
Arterial or Venous Insufficiency? Treatment includes moist dressings, elevating and compressing the extremities.
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Venous
Arterial or Venous Insufficiency? No ulcer pain, but there is leg pain.
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Arterial
What is a major side effect of Nipride/nitroprusside?
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Profound hypotension
Decreased hemoglobin levels post abdominal aortic aneurysm repair is indicative of?.
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Decreased oxygen carrying capacity and decreased oxygenation of peripheral tissues and potentially post-operative bleeding.
Where would you auscultate a murmur associated with an abdominal aortic aneurysm?
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Left of the abdominal midline
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How frequently should neurovascular checks be performed after an abdominal aortic aneurysm repair?
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Upon admission and then hourly
_________ may result in thrombus formation of a graft secondary to decreased blood flow.
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Prolonged hypotension
What are signs and symptoms of an aortic dissection or rupture?
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A ripping, tearing sensation. Abdominal pain that possibly radiates to the groin, leg or buttocks. Pale, clammy or mottled skin. Nausea, vomiting, diaphoresis, dry membranes, tachycardia, pulse disparities (specific sign of rupture), anxiety, weak or decreased pulses, decreased or absent bowel sounds, decreased urine output, later, hypovolemia and shock.
What is responsible for the majority of peripheral artery disease cases?
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Atherosclerosis
A physician should be notified when a post-abdominal aortic aneurysm graft patient has urine output less than __________.
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30 mL for 2 consecutive hours
What are complications post-abdominal aortic aneurysm repair associated with hypothermia?
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Shivering, which increases pain, vasoconstriction that leads to poor tissue perfusion and infection, and adverse cardiovascular events.
How can pain lead to thrombus formation post-abdominal aortic aneurysm repair?
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Pain causes the release of epinephrine and norepinephrine which leads to vasoconstriction. Vasoconstriction causes decreased blood flow which promotes thrombus formation.
How frequently should urine output be assessed post abdominal aortic aneurysm grafting?
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Hourly
A warm, bluish extremity after an abdominal aortic aneurysm graft can indicate __________.
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Poor venous return
________ are a class of drugs used to treat peripheral artery disease used to decrease cholesterol and help with claudication.
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Statins
_________ are medications used in the treatment of a peripheral artery disease to improve arterial blood flow(2).
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Aspirin and Plavix
  
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