This topic contains a solution. Click here to go to the answer

Author Question: What is the most serious, life-threatening complication of AAA and why? What single problem ... (Read 65 times)

ec501234

  • Hero Member
  • *****
  • Posts: 573
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ynlevi

  • Sr. Member
  • ****
  • Posts: 338
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.




ec501234

  • Member
  • Posts: 573
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)


Perkypinki

  • Member
  • Posts: 339
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

About 3.2 billion people, nearly half the world population, are at risk for malaria. In 2015, there are about 214 million malaria cases and an estimated 438,000 malaria deaths.

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

For a complete list of videos, visit our video library