Peripheral vascular nursing assessment Case Study

Describe the components of a peripheral vascular nursing assessment.

Student Instructions for Standardized Simulation NR 304 Annie Laduke

SCENARIO OVERVIEW: 

Annie Laduke is a 32-year-old Native American female with no significant health history. This morning, she presented to her provider’s office with complaints of pain, increased redness, and warmth of the right lower leg in the calf area. She was directly admitted to the inpatient medical unit by her provider.

 Health histories and physical assessments: a-Peripheral vascular system  SIMCARE CENTER™ activities: b-Focused assessment 

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.

Question

1. Based on what you’ve learned about the nursing process, describe one applicable nursing diagnosis, treatments, and nursing considerations for this diagnosis.

2. What are some non-pharmacological measures that can be used for pain relief in care for this patient?

3. Describe the components of a peripheral vascular nursing assessment.

4. components of a peripheral vascular nursing assessment

PLEASE USE APA FORMAT AND INCLUDE REFERENCES LESS THAN 5 YEARS OLD

Peripheral vascular nursing assessment Case Study
Peripheral vascular nursing assessment Case Study

Peripheral Vascular Disease Case Study 2

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with the cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.

Studies

Results

Routine laboratory work

Within normal limits (WNL)

Doppler ultrasound systolic pressures

Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure

Arterial plethysmography

Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves

Femoral arteriography of right leg

Obstruction of the femoral artery at the midthigh level

Arterial duplex scan

Apparent arterial obstruction in the superficial femoral artery

Diagnostic Analysis

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.

Critical Thinking Questions

  1. What was the cause of this patient’s pain and cramping?
  2. Why was there decreased hair on the patient’s right leg?
  3. What would be the strategic physical assessments after surgery to determine the
    adequacy of the patient’s circulation?
  4. What would be the treatment of intermittent Claudication for non-occlusion?
  5. Describe the components of a peripheral vascular nursing assessment
  6. references
Peripheral vascular nursing assessment Case Study
Peripheral vascular nursing assessment Case Study

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