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Nursing In a Flash 
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Question Answer
A __________ aneurysm is pouchlike with a narrow neck connecting it to one side of the arterial wall.
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Saccular
What can cause decreased urinary output post abdominal aortic aneurysm grafting (4)?
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Emboli, swelling that causes obstruction of the renal arteries, renal damage that leads to renal failure or decreased fluid volume.
Blood replacement is usually given post-abdominal aortic aneurysm repair if the hemoglobin levels fall below _______.
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8 grams per deciliter
Where are non-diabetics with peripheral artery disease (PAD) typically affected?
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From the femoral to popliteal region (normally people are affected from the knee down).
How is peripheral artery disease (PAD) diagnosed?
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Ankle-brachial index, ultrasound, duplex imaging (assesses blood flow), segmental blood pressures (greater than 30 difference in the systolic pressures is diagnostic), maybe angiography.
How are abdominal aortic aneurysms diagnosed?
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Chest X-ray (you will see a widening in the area of the aneurysm), an ECG to rule out a myocardial infarction, ultrasounds, CT scan (most accurate) or an MRI.
What are risk factors for an aortic dissection (6)?
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Uncontrolled hypertension, age, Marfan's syndrome, pregnancy, trauma and smoking.
What are some diagnostic procedures that can detect weak arterial walls and identify the size and location of an abdominal aortic aneurysm?
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CAT scan, abdominal X-ray, IV pyelogram, or an ultrasound.
__________ is used in the treatment of a dissection to maintain the mean arterial pressure in a range of 70 to 80.
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Nitroprusside or labetalol
_________ is used in the treatment of a dissection to decrease the blood velocity.
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IV propranolol
_________ is used in the treatment of a dissection to decrease pain.
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Morphine
Which pulses should be assessed post-abdominal aortic aneurysm grafting?
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Femoral, popliteal, posterior tibialis, and the dorsalis pedis.
What are signs and symptoms of poor motor neuron function post-abdominal aortic aneurysm grafting?
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Paralysis or decreased movement of the lower extremities.
What is an abdominal aortic aneurysm?
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A weakening of the blood vessel lining in the aorta.
Arterial or Venous Insufficiency? Ulcers on the toes, lateral malleolus, smooth, round and ulceration.
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Arterial
Arterial or Venous Insufficiency? Beefy red or pink ulcer
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Venous
________ below an abdominal aortic aneurysm repair graft can be indicative of arterial insufficiency.
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Pallor
What are the risk factors associated with abdominal aortic aneurysms?
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Hypertension, atherosclerosis, obesity
What is the treatment for an abdominal aortic aneurysm less than 4 centimeters big (4)?
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Decrease the patient's blood pressure, monitor the size of the aneurysm every six months, increase their level of physical activity and decrease their weight.
How frequently are vitals taken while lowering a patient with an aortic dissection's blood pressure?
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Every 2 to 3 minutes
A(n) _________ aneurysm manifests with problems in the upper and lower body structures.
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Ascending
A(n) _________ aneurysm manifests with respiratory problems, deep diffuse chest pain, angina, dysphagia, and jugular venous distention.
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Thoracic
A(n) _________ aneurysm manifests with problems in lower extremities.
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Descending/abdominal
________ assists the nurse in determining fluid volume overload or depletion versus cardiac pump malfunction post abdominal aortic aneurysm grafting.
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Hemodynamic monitoring
Acute or Chronic Peripheral Artery Disease? Increased pain, pain at rest, decreased sensation, possibly edema.
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Acute PAD
__________ is given during an abdominal aortic rupture to keep the mean arterial pressure between 70 and 90. It is given when the systolic blood pressure is greater than 90.
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Dopamine
__________ is given during an abdominal aortic rupture to expand blood plasma to keep the blood pressure up.
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Hespan/hetastarch
__________ is given during an abdominal aortic rupture to decrease afterload.
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Nitroprusside with nitroglycerin (the nitroglycerin decreases the systemic side effects of nitroprusside)
__________ is given during an abdominal aortic rupture to increase the patient's blood pressure. It is typically given with a contractile agent.
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Neo-synephrine
What are the complications of an abdominal aortic aneurysm rupture?
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Bleeding, infection, emboli, acute renal failure, decreased circulation, spinal cord ischemia which can lead to paralysis, loss of bladder/bowel control, and impotence.


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