Pletal is a phosphodieterase inhibitor (antplatelet) for PAD tx. What two things should patients avoid when taking it?
Grapefruit juice and Omeprazol
List 4 nursing goals of PAD
1. Adequate tissue perfusion
2. Relief of pain
3. Increased exercise tolerance
4. Intact Healthy skin on the extremities
Surgery for PAD may be done if blockage is at ____%.
90-100% blockage
Go in and dilate blood vessel, insert cath, and compress plaque walls
B.
Removal of plaque
D.
Making an incision in a vessel, widening and cleaning it out
D.
This surgical procedure of PAD has a 95% success rate and uses liquid nitrous oxide.
Cryoplasty
List nursing interventions after a patient has a vascular stent
Keep leg straight
Check groin site for bleeding
Check CSM
Don't let patient move leg too much if high risk of bleeding
When checking patient Q15min post-op of bypass graft, you see an increase in pain, pulse, pallor extremities and numbness. What should you do?
Notify MD promptly
T or F: Initially a patient post op will receive warfarin as anticoagulant therapy, then go home with Coumadin for home tx.
False: initially with lovenox or coumadin, then home with warfarin or aspirin
What are the six P's of ACUTE Arterial occlusion
1. Pain
2. Parathesias
3. Poikilothermia
4. Paralysis (late sign - irreversible nerve dmg)
5. Pallor
6. Pulselessness
This is the emergency surgical removal of emboli which are blocking blood circulation. It usually involves removal of thrombi (blood clots)
Embolectomy
This drug is a blood viscocity reducing agent and is used to treat intermittent claudication.
A. Pentoxifylline (Trental) 400mg PO TID
Pletal - Phosphodidieterase Inhibitor
Plavix - Antiplatelet
Altace - ACE inhibitor
This drug is a Phosphodieterase inhibitor used for intermittent claudication. It inhibits the enzymes that make cAMP for platelets.
B. Pletal - Phosphodidieterase Inhibitor
Trental - Blood viscocity reducing agent
Plavix - Antiplatelet
Altace - ACE inhibitor
Which antiplatelet medicine do you give for a PAD pt. who is non-symptomatic:
B.
Which Thrombolytic Therapy is used most often:
A. TPA (Activase)
What four labs will you need to check for when giving TPA (Activase)? (Pre-procedure Labs)
PTT
PT
HcT
WBC
T or F: During the first PO day after a Femoral Bypass Graft, you want to keep the patient on strict bedrest as not to aggravate the surgical site and cause bleeding.
False: During first PO day, get patient out of bed several times/day and avoid prolong sittings