Cardio 4 Test
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| A. Intense monitoring of pulmonary, cardiovascular, renal, and neurologic status, possible complications with arterial occlusion, hermorrhage, infection, ischemic bowel , renal failure and impotenceB. Vasodialators because it diverts blood from occluded vesselsC. assess for impending rupture ( severe back pain, or ab pain, lower ab to left midline, low back pressure on lumbar nerves, falling bp and hematocrit, retroperitoneal rupture ( bruising in scrotum perimeum, flank or penis)D. Intima, Media, and AdventitiaE. aching cramping fatigue or weakness, blockage in the legs, pain usually in the muscle group one joint below level of the occlusionF. calcium channel blockers procardia, aldalat helps cut down on spasms, relaxes arteriesG. Intermittent Claudication, coldness or numbness int he extremity, Pallor, diminished or absent pulses, dry shiny skin, loss of hair over toes, nails thick and ridgidH. severe edema, pain, decreased sensation of toes and fingersI. rupture in the intaimal layer .. as separation progresses, the arteries branching from the involved area of the aorta shear and occlude.J. Age, gender, familial predispositionK. In the feetL. Walking because it increases distance pt can walk without pain- colateral circulationM. elevate the stump for 24 hrs to promote venous return and decrease edema, monitor for hemotoma, asses fit of elastic bandage(two fingers fit btwn layers of wrap), encourage feelings after loss ( phantom pain limb sensations)N. SmokingO. MediaP. When the aneurysm is wider than 5cm (2 inches)Q. usually sudden, severe, persistant pain, (described as tearing or ripping) pain in area of anterior chest or back and extends to shoulders, epigastric areas or ab. pallor sweating, tachy, possible BP difference in armsR. Ultrasounds, CTS. Frequently at bifurcation or branch areas, fibrous plaque( fatty plaque) build up in abdominal aorta, coronary, popliteal, and internal carotid arteriesT. Raynauds disease |
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