Vascular Surgery. Angie Allen, ACNP Stacey Becker, RN . Objectives. Identify our team. Peripheral Artery Disease Cerebral Revascularization Lower Extremity Revascularization Lower Extremity Amputation Abdominal Aortic Aneurysms (endovascular) Thoracic Aortic Aneurysms (endovascular)
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Angie Allen, ACNP
Stacey Becker, RN
Carry the consult/resident pager:
First Call for Vascular
Stacey Becker, RN (Dr. Naslund)
Ann Luther, RN
Ann Lacy, RN
1. Occlusive disease: Atherosclerosis is symptomatic by gradually occluding the artery to the target organ or extremity. (kidneys, colon, legs, or arms)
2. Symptoms occur with critical arterial stenosis (75 % of cross sectional of lumen is obliterated)
-Left hemiplegia or monoparesis and right eye visual loss
-Right hemiplegia or monoparesis and left eye visual loss
-Transient visual loss
-”Window shade”, “flashing lights”, or “sparks”
Carotid Artery Stenting
-May require immediate surgical intervention for evacuation
-Order tracheostomy kit Stat to the bedside
Stage 1: Involving skin and dermis-wound care, antibiotics.
Stage 2: Extending to subcutaneous and fatty tissue but not graft-Exploration and washout in the OR, continued wound care and antibiotics.
Stage 3: Graft involvement-Exploration and washout in the OR with graft removal with establishment of new route of perfusion. Continued wound care and 6 weeks of IV antibiotics.