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Abdominal Aortic AneurysmsMedical-Surgical Nursing-7th edition

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Question Answer
_________ are medications used in the treatment of a peripheral artery disease to improve arterial blood flow(2).
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Aspirin and Plavix
_________ is a medication used in the treatment of a peripheral artery disease to decrease acute arterial blood flow loss.
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Coumadin
What is a true aneurysm?
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All layers of the arterial wall (intima, media and adventitia) are weakened.
Which artery is utilized in the placement of an endovascular graft?
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The femoral artery
Arterial or Venous Insufficiency? Dependent edema, leg pain with elevation, bony prominence ulcers, ankle-brachial index less than 0.70.
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Arterial
What measures can encourage the development of collateral circulation in peripheral artery disease?
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The patient should walk until they feel pain, rest, then walk again until they pain, rest, etc.
Where are diabetics with peripheral artery disease typically affected?
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Below the knee
Arterial or Venous Insufficiency? Decreased or absent pulses.
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Arterial
A __________ aneurysm is circumferential and uniform in shape.
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Fusiform
What is the drug of choice to increase cardiac output without increasing the blood pressure?
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Nitroprusside/Nipride. It is given with a contractile agent.
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What type(s) of symptoms do the majority of patients with abdominal aortic aneurysms have?
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None
Aneurysm greater than _______ centimeters have a 50% chance of rupture within one year.
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6 centimeters
Where are some causes/risk factors for abdominal aortic aneurysm?
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Age (67 to 75) related changes, male gender, smoker, genetics (i.e. Marfan's), hypertension, atherosclerosis, injury or pregnancy.
What are the benefits of an endovascular graft for abdominal aortic aneurysm?
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It is minimally invasive, decreased risks associated with abdominal incisions, can use epidural instead of general anesthesia, decrease length of stay by 1 to 3 days.
A longitudinal tear in the intima of the aortic wall is called an aortic __________.
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Dissection
A patient with severe back pain and Grey Turner's sign most likely has an abdominal aortic aneurysm rupture in the __________
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Posterior retroperitoneal space, it is tamponaded by surrounding structures.
________ aneurysms involve a disruption of the arterial wall that has bleeding contained by surrounding structures.
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False aneurysms. Usually they are due to trauma, infection or surgery.
How frequently should BUN, hemoglobin, hematocrit, red blood cells, platelets, and creatinine be assessed post abdominal aortic aneurysm repair?
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Every 24 hours
Medical management is indicated for an aneurysm that is less than _______ in diameter.
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4 centimeters
Surgical repair for an aneurysm is recommended when it is ________ or more in diameter.
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5 centimeters
What interventions are done post abdominal aortic aneurysm repair to promote venous return?
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Sequential compression devices, vascular boots, compression stockings, elevate lower extremities, and check their skin every shift.
  
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