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Abdominal Aortic AneurysmsMedical-Surgical Nursing-7th edition

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An increased BUN post abdominal aortic aneurysm grafting is indicative of _________.
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Muscle breakdown and protein catabolism
In a patient post abdominal aortic aneurysm repair, if the systolic blood pressure falls below 90, ___________ may be given to support cardiac output.
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Dopamine
What are the signs and symptoms of a thoracic aortic aneurysm?
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Usually none. It may present with a deep, diffuse pain extending to the interscapular area.
Arterial or Venous Insufficiency? Dependent limb positioning is comfortable, wet to dry dressings are used to treat the ulcerations, no pressure heels and no TED hose are permitted.
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Arterial
_______ may occur distal to an abdominal aortic aneurysm graft if tissue perfusion is decreased.
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Pain. A patient shouldn't experience any leg pain afterwards.
Arterial or Venous Insufficiency? No leg pain, but the ulceration is painful
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Venous
________ can cause fluid depletion after a graft repair. In patients with heart problems, it can cause fluid overload.
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Third spacing losses or fluid remobilization
What are the major causes or associations with abdominal aortic aneurysm ruptures?
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History of previous aneurysm, history of a dissection, history of hypertension or heavy lifting
An increase in creatinine post abdominal aortic aneurysm repair is indicative of _________.
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Kidney damage
Risk factors for peripheral artery disease are?
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Smoking, increased cholesterol, diabetes mellitus, hypertension, and a history of a myocardial infarction or a stroke
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What interventions should be done to decrease pain post abdominal aortic aneurysm repair?
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Encourage splinting while coughing, place a pillow under the knees, elevate the foot of the bed, keep the patient warm to prevent shivering.
How is an unstable aortic dissection (one that affects organ perfusion or dissects upwards) treated?
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Grafting, blood transfusions and fluids to treat the hemorrhage, control the heart rate and blood pressure.
Why is it important to maintain blood pressure post-grafting of an abdominal aortic aneurysm?
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Hypotension can lead to graft thrombosis (monitor the CVP and pulmonary artery pressures). Hypertension can lead to leakage or rupture of the graft site.
  
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