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Abdominal Aortic AneurysmsMedical-Surgical Nursing-7th edition

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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.
How is optimal blood flow assessed post-bypass graft surgery for peripheral artery disease?
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Ankle-brachial index immediately following the procedure, and assess for the presence of paresthesia; the earliest indicator of a graft problem.
What is Hespan and why is it used?
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Starch that is similar to albumin, increases blood volume to prevent hypovolemic shock.
What are the signs and symptoms of a paralytic ileus post abdominal aortic aneurysm repair?
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Distention, nausea, vomiting, and fever.
How frequently should bowel sounds be assessed post abdominal aortic aneurysm repair?
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Every 2 hours
What are the differences between an abdominal aortic aneurysm, dissection, and rupture?
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Abdominal aortic aneurysm is a weakening of the arterial wall, a dissection is a tear of the intima, and a rupture is a disruption of all three blood vessel layers that leads to bleeding.
An aneurysm that ruptures __________ in the abdominal cavity results in death.
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Anteriorly
With mild peripheral artery disease, what is the typical ankle-brachial index (ABI)?
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0.71-0.90
With moderate peripheral artery disease, what is the typical ankle-brachial index (ABI)?
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0.41-0.70
With severe peripheral artery disease, what is the typical ankle-brachial index (ABI)?
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Less than 0.41
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What is the long term systolic blood pressure goal for a patient with an aortic dissection?
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130 or less
The normal ankle brachial index (ABI) is?
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1.3-.91
Acute or Chronic Peripheral Artery Disease? Thick toenails, thin shiny skin, hair loss, intermittent claudication, decreased sensation related to neuropathy
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Chronic
What are the four major risk factors for peripheral artery disease?
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Smoking, hyperlipidemia, hypertension, diabetes mellitus
___________ after an abdominal aortic aneurysm graft surgery can be indicative of vascular insufficiency.
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Diminished or absent pulses
Why is fresh frozen plasma used in the treatment of an abdominal aortic aneurysm dissection or rupture?
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To treat hemorrhage. It is rich in clotting factors.
What are the interventions for in patient peripheral artery disease patients?
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Keep the patient on bedrest, keep the lower extremities dependent, pain management, nutritional management, turn them keeping their hips straight and midline, no TED hose, keep their heels off of the bed. Treat the ulcers with wet-to-dry dressings.
What is a contraindication for Nipride/nitroprusside?
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Hypotension
Arterial or Venous Insufficiency? No pain, edema, bronze to brown skin color, leathery thick skin, ABI greater than 0.90.
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Venous
How does Nipride/nitroprusside increase cardiac output?
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It decreases afterload (the resistance in the aorta) by causing the heart muscle to tense (but not contract).
An increased BUN post abdominal aortic aneurysm grafting is indicative of _________.
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Muscle breakdown and protein catabolism
  
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