Author Question: What is the most serious, life-threatening complication of AAA and why? What single problem ... (Read 46 times)

ec501234 · **on:** Jun 25, 2018

What is the most serious, life-threatening complication of AAA and why?

What single problem mentioned at the beginning of this case study presents a risk for AAA
rupture? Why?

Question 2

While A.H. awaits his surgery, it is important that you monitor him carefully for decreased tissue perfusion.

Identify five things you would assess for, and state your rationale for each.

ynlevi · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Rupture of the aneurysm: A ruptured aneurysm (as opposed to one with a slow leak) is usually rapidly fatal.

Risk for AAA rupture is evident in the statement, He hasn't had a bowel movement for 3 days.
Straining to have a bowel movement (Valsalva maneuver) can cause a profound increase in intraabdominal
pressure that could result in rupture.

Answer to Question 2

Urinary output: A decrease in kidney perfusion will result in decreased urine production.
Abdominal or lumbosacral pain: An increase in pain can mean enlargement of the aneurysm or
possible leakage.
Bowel sounds: Decreased or absent bowel sounds can indicate decreased perfusion of the
gastrointestinal (GI) tract.
Peripheral circulation: Decrease in pedal pulses, coolness, cyanosis, or mottling of the skin of the feet,
or increase in capillary refill time, indicates impaired peripheral circulation.
Chest pain: If perfusion of the myocardium is decreased, the heart can become ischemic.
VS: Hypotension, tachycardia, and tachypnea are signs of hypovolemia or hemorrhagic shock.
Level of consciousness (LOC): If cerebral perfusion is diminished, the patient might become confused
and anxious.