vascular disorders med surg. after recieving report whihc patient dhould you see first

When should I schedule my Follow-up appointment after vascular surgery?

After vascular surgery, it’s important to schedule a follow-up appointment as soon as the day after surgery (for those having outpatient procedures). This is important because your vascular surgeon will need to perform tests to ensure the surgery was successful and to detect conditions such as early restenosis .

What should a nurse do if a renal artery occlusion occurs?

a. Record hourly chest tube drainage. b. Monitor fluid intake and urine output. Assess the abdominal incision for redness. d. Teach the patient to plan for a long recovery period. Because renal artery occlusion can occur after endovascular repair, the nurse should monitor parameters of renal function such as intake and output.

How do I cope with pain after vascular surgery?

After vascular surgery, most people need some time to adjust, coping involves dealing with pain and immobility after surgery; it also involves employing some new lifestyle modifications as well as adjusting emotionally to all of these new changes. Your healthcare team will advise you on what type of pain medication to take after your surgery.

What should a nurse do if a patient is experiencing aortic dissection?

Because the patient appears to be experiencing aortic dissection, the nurse's first action should be to determine the hemodynamic status by assessing blood pressure. The other actions may also be done, but they will not provide information to determine what interventions are needed immediately.

What are the symptoms of Raynaud's phenomenon?

The nurse should assess for other clinical manifestations of peripheral arterial disease in a patient who describes intermittent claudication. Changes in skin color that occur in response to cold are consistent with Raynaud's phenomenon. Tortuous veins on the legs suggest venous insufficiency. Unilateral leg swelling, redness, and tenderness indicate venous thromboembolism.

Where to look for tortuous veins bilaterally?

look for the presence of tortuous veins bilaterally on the legs.

Why is capillary refill prolonged in PAD?

Capillary refill is prolonged in PAD because of the slower and decreased blood flow to the periphery. The other listed clinical manifestations are consistent with chronic venous disease.

Why do nurses need to monitor renal function?

ANS: B. Because renal artery occlusion can occur after endovascular repair, the nurse should monitor parameters of renal function such as intake and output. Chest tubes will not be needed for endovascular surgery, the recovery period will be short, and there will not be an abdominal wound.

Why is the IV rate increased?

The IV rate may be increased because hypovolemia may be contributing to the patient's decreased urinary output.

Can hypertension be modified?

All of the factors contribute to the patient's risk, but only hypertension can potentially be modified to decrease the patient's risk for further expansion of the aneurysm.

Does resting your leg reduce oxygen demand?

The patient's history and clinical manifestations are consistent with acute arterial occlusion, and resting the leg will decrease the O2 demand of the tissues and minimize ischemic damage until circulation can be restored. Elevating the leg or applying an elastic wrap will further compromise blood flow to the leg. Exercise will increase oxygen demand for the tissues of the leg.

Why is it important to have a vascular surgeon perform a test?

This is important because your vascular surgeon will need to perform tests to ensure the surgery was successful and to detect conditions such as early restenosis . Early restenosis is a condition involving a section of an artery that was opened (via angioplasty or a stent) that has become narrowed again.

How often should you follow up after vascular surgery?

Long-term follow up after vascular surgery should be scheduled yearly. The healthcare provider who is in charge of your care during your vascular surgery—such as a vascular surgeon or cardiologist—should be the person to perform your follow up examinations. 1.

What is the treatment for varicose veins?

Another type of therapy for the treatment of vein disorders is endovenous laser ablation treatment for varicose veins. This is a type of treatment that utilizes heat from a laser to reduce varicose veins. After surgery, you can expect to: Be encouraged to walk right after the procedure.

What is the procedure to remove a saphenous vein?

A vein stripping procedure (involving the surgical removal of the saphenous vein) is performed in the hospital. The saphenous vein is the largest vein in the leg and it is a common culprit when it comes to the location of varicose veins. After a saphenous vein stripping procedure , you can expect to:

How to treat spider veins?

3 One such treatment is called sclerotherapy (the injection of a solution that causes spider veins to shrink). Another type of therapy for the treatment of vein disorders is endovenous laser ablation treatment for varicose veins. This is a type of treatment that utilizes heat from a laser to reduce varicose veins.

What is the most important thing to keep in mind when it comes to recovery from surgery?

The most important thing to keep in mind when it comes to recovery from any type of surgery, including vascular surgery, is to closely follow your surgeon’s advice when it comes to your activity, wound care, medication and all other aspects of recovery.

How long after a syringe surgery can you walk?

Be encouraged to walk within 24 hours of having the surgery and slowly increase your walking distance and speed. Avoid driving for at least a week, or anytime you are taking opioid pain medications, or anytime you are having leg pain. 6.

What are the symptoms of Raynaud's phenomenon?

The nurse should assess for other clinical manifestations of peripheral arterial disease in a patient who describes intermittent claudication. Changes in skin color that occur in response to cold are consistent with Raynaud's phenomenon. Tortuous veins on the legs suggest venous insufficiency. Unilateral leg swelling, redness, and tenderness indicate venous thromboembolism.

Why is capillary refill prolonged in PAD?

Capillary refill is prolonged in PAD because of the slower and decreased blood flow to the periphery. The other listed clinical manifestations are consistent with chronic venous disease

What is the name of the medication used for venous thromboembolism?

A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks the nurse why two medications are necessary.

What is the name of the device used to monitor posterior tibial and dorsalis pedis?

d. monitor posterior tibial and dorsalis pedis pulses with the Doppler

When does a patient exercise indoors?

a. The patient exercises indoors during the winter months.

Can you take NSAIDs with Raynaud's phenomenon?

Pseudoephedrine is a vasoconstrictor and should be avoided. There is no reason to avoid taking NSAIDs with Raynaud's phenomenon.

Does resting your leg reduce oxygen demand?

The patient's history and clinical manifestations are consistent with acute arterial occlusion, and resting the leg will decrease the O2 demand of the tissues and minimize ischemic damage until circulation can be restored. Elevating the leg or applying an elastic wrap will further compromise blood flow to the leg. Exercise will increase oxygen demand for the tissues of the