Carotid Craziness
Difference between CEA and TCAR.
CEA: surgically removes plaque from the artery
TCAR: less invasive and uses a sheath to introduce a stent to allow blood flow
Your patient had a lower extremity bypass and is reporting increased pain in the lower leg, the calf feels tight, and the pedal pulse exam has changed from palpable to dopplerable.
What is compartment syndrome?
CBC, Chemistry panel, Co-ags
What are the standard labs for all vascular patients.
What is the most common site of arterial aneurysm?
What is 1-2 hours and POSS score.
Pain assessment and POSS score 1-2 hours after administration.
Most severe complication post carotid surgery.
What is a stroke?
Two non-invasive options to evaluate blood flow to the lower extremities.
What are PVRs and ABIs?
If this machine is off for more than 2 hours, it must be replaced.
What is a wound vac?
Open AAA repair.
What is the most invasive AAA repair?
Change these Q96 hours.
What are IV tubing, central line caps, and peripheral IV pigtails?
Standard SBP goals for carotid patients.
100-140
Your patient has arrived from the PACU after a fem-pop bypass. You know to check ______ and ______for _____hours.
Pedal pulses and groin puncture site. 12 hours.
This lab must be drawn at 5AM, prior to administration.
What is tacrolimus?
These two types of AAA repairs go to the ICU immediately post-op.
What is a TEVAR? What is an IDE (BEVAR)?
Why are we hesitant to give Toradol in post op patients?
What is bleeding risk and potential AKI?
Common post-op neuro change that is not concerning.
Difference between claudication and rest pain.
2 bonus points for describing how claudication is measured.
Claudication is measured in city blocks.
This needs to be monitored daily for patients on methadone.
What is QTC?
Most severe complication post IDE procedure.
What is spinal cord ischemia?
This needs to be monitored daily for patients on methadone.
What is QTC?
What is neck swelling/hematoma post CEA?
Most common location for an endarterectomy?
What is the femoral artery?
Q6 CBC, pTT, fibrinogen
Lab monitoring for tPA lysis patients.
MAP goal 90-110s
IDE patients while in the HVICU
How quickly do you have to reassess pain after medication administration? What else must be included with a full pain assessment?
What is 1-2 hours? and POSS score?