Carotid Craziness
This post op complication may cause tracheal deviation
What is neck swelling/hematoma?
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?
This is obtained daily to assess for pneumothorax post 1st rib resection
What is a chest xray?
This is a symptom of a AAA
What is abdominal or back pain?
A 2 RN skin check and focused pressure assessment must be performed in these instances
What is upon admission or transfer to the unit?
This symptom post surgery should be reported to the provider immediately.
What is a headache?
Usually placed on fasciotomies that are left open
What is a wound vac?
All arterial lines must be set up this way to notify if the catheter has accidentally been dislodged or removed
What is transduced?
The most severe complication post IDE procedure.
What is spinal cord ischemia?
The most common type of Thoracic Outlet Syndrome (TOS).
What is Neurogenic TOS?
This is the standard SBP goal for carotid patients.
What is 100-140?
The difference between claudication and rest pain.
50 bonus points for describing how claudication is measured.
What is rest pain occurs at rest while claudication occurs with exertion?
What is claudication is measured in city blocks?
Insulin must be administered within what time frame of getting a glucose check
What is 60 minutes?
Patients receiving these aneurysm repairs will go directly to the HVICU postop
What are open AAA, TEVAR, IDE?
A patient presents to the ED with paresthesia, pulselessness, and pain on his RLE. As the vascular surgery nurse, you suspect it is:
What is Acute Limb Ischemia on RLE?
What is HOB 30 degrees?
These are three pieces of equipment post op amputees will wear during their recovery.
What are knee immobilizer, shrinker, and stump protector?
These are three things to do when a patient gets admitted with a pressure injury.
What is take pictures of the wound, measure, submit a safety net, add LDA, and message skin team?
A surgeon operates when an aneurysm meets which criteria
What is a symptomatic AAA, >5cm, or increases by 0.5cm in 6 months
These people audit nursing care and documentation, give feedback, coach, teach, and support staff.
What are Quality Nurses?
The 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 has arrived from the PACU after a fem-pop bypass. You know to check these three things every hour.
What is lower extremity neurovascular exam, graft pulse, and incision site?
Lab monitoring for tPA lysis patients.
What is Q6hr CBC, pTT, and fibrinogen?
This procedure may be performed prior to a TEVAR to ensure adequate blood flow after stent placement
What is carotid subclavian bypass?
These 3 things should be changed Q96 hours (every 4 days).
What are IV tubing, central line caps, and peripheral IV pigtails?