Thrombophlebitis Hunger

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Painful Veins Causes, Symptoms, Pictures, Treatments | krampfadern-plus.info Thrombophlebitis Hunger Cardio for Nclex. Preparation for test shows signs of air hunger, Recalling the complications related to thrombophlebitis will direct you to option 3.


Cardiovascular NCLEX-PN 6th Edition Flashcards | Quizlet Thrombophlebitis Hunger

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For a better experience, please download the original document and view it Thrombophlebitis Hunger the native application on your computer. Young women and the elderly are at greatest risk. Thrombophlebitis can affect superficial or deep veins. Although both conditions can Thrombophlebitis Hunger symptoms, deep vein thrombosis DVT is more serious Thrombophlebitis Hunger terms of potential complications, including pulmonary embolism, postphlebotic syndrome, Thrombophlebitis Hunger, chronic venous insufficiency, and vein valve destruction.

Primarily treated at the community level, with short inpatient stay generally indicated in the presence of embolization. Surgical intervention Ventilatory assistance mechanical Fractures Psychosocial aspects of care. Occupation that requires sitting or standing for long periods of time Prolonged immobility e. Generalized or extremity weakness. History of previous peripheral vascular disease, venous thrombosis, varicose veins Presence of other predisposing factors, e. Poor skin turgor, d ry mucous membranes dehydration predisposes to hypercoagulability Obesity predisposes to stasis and pelvic vein pressure Edema of affected extremity present with Thrombophlebitis Hunger in Thrombophlebitis Hunger veins or major venous trunk s.

Throbbing, tenderness, aching pain aggravated by standing or movement of affected extremity, groin tenderness. Guarding of affected extremity. History of direct or indirect injury to extremity or vein e. DRG projected mean length of inpatient stay: Hemoconcentration elevated Hct potentiates risk of thrombus formation. Changes in blood flow and volume identify venous occlusion, vascular damage, and vascular insufficiency. May demonstrate vessel valve incompetence. This study carries a risk of inducing DVT Thrombophlebitis Hunger therefore is reserved for patients with negative or difficult-to-interpret noninvasive studies in the presence of high clinical suspicion, Thrombophlebitis Hunger.

May be useful in assessing blood flow turbulence and movement, venous valvular competence. Tissue perfusion improved in affec ted limb. Plan in place to meet needs after discharge, Thrombophlebitis Hunger.

Tissue Perfusion, ineffective May be related to, Thrombophlebitis Hunger. Display increasing tolerance to activity.

Evaluate circulatory and neurological studies of involved extremity—both sensory and motor. Examine extremity for obviously prominent veins. Promote bedrest initially, with legs elevated above heart level during acute phase. Elevate legs when in bed or chair, as indicated.

Initiate active or passive exercises while in bed e. Assist with gradual resumption of ambulation e, Thrombophlebitis Hunger. Symptoms help distinguish between thrombophlebitis and DVT, Thrombophlebitis Hunger. Redness, heat, tenderness, and localized edema are characteristic of superficial involvement. Pallor and coolness of extremity are charac teristic of DVT, Thrombophlebitis Hunger. Distension of superficial veins can occur in DVT because of backflow through communicating veins.

Diminished capillary refill usually present in DVT. Reduces tissue swelling and rapidly empties superficial and tibial veins, preventing overdistension and thereby increasing venous return. Some physicians believe that elevation may potentiate release of thrombus, thus increasing risk of embolization and decreasing circulation to the most distal portion of the extremity.

They also promote normal organ Thrombophlebitis Hunger and enhance general well-being. Physical restriction of circulation impairs blood flow and increases venous stasis in pelvic, popliteal, and leg vessels, thus increasing swelling and discomfort, Thrombophlebitis Hunger. Increases negative pressure in thorax, which assists in emptying large veins, Thrombophlebitis Hunger.

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Provided by the American Venous Forum: krampfadern-plus.info CHAPTER 5 SUPERFICIAL VENOUS THROMBOSIS. Original authors: Anil P. Hingorani and Enrico Ascher.

Upgrade to remove ads. Questions, answers, and rationals from the book yellow and blue edition eBook - not complete - I tried to get all the duplicates A client is Thrombophlebitis Hunger to an emergency department with chest pain that is being ruled out for myocardial infarction. Vital signs are as follows: The nurse should alert the physician because these changes are most consistent with which of the following complications?

Dissecting thoracic aortic aneurysm. Classic signs include hypotension, a rapid pulse that becomes weaker, Thrombophlebitis Hunger, decreased urine output, and cool, clammy skin. Respiratory rate increases as the body develops metabolic acidosis from shock. Cardiac tamponade is accompanied by distant, muffled heart sounds and prominent neck vessels. Pulmonary embolism presents suddenly with severe dyspnea accompanying the chest pain. Dissecting aortic aneurysms usually are accompanied by back pain.

Use the process of elimination. Recalling that the early serious complications of myocardial infarction include dysrhythmias, Thrombophlebitis Hunger, cardiogenic shock, and sudden death will direct you to option 1. No information in the question is associated with options 2, 3, or 4. Review the complications of myocardial infarction if you had difficulty with this question.

A client admitted to the hospital with chest pain and history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which of the following Thrombophlebitis Hunger would need to be withheld for 48 hours before and after the procedure? Metformin Glucophage needs to be withheld 48 hours before and after cardiac catheterization because of the injection of contrast medium during the procedure.

If the contrast medium affects kidney function, with metformin in the system, the client would be at increased risk for lactic acidosis. The medications in options 1, 2, and 3 do not need to be withheld 48 hours before or after cardiac catheterization. Eliminate options 2 and 3 first. Although these medications may be withheld on the morning of the procedure because of the client's NPO status, there is no indication for withholding the medication the day prior to and the day postprocedure.

Regular insulin may be administered if elevated blood glucose levels from infused intravenous solutions occur on the day of the procedure, Thrombophlebitis Hunger. Review preprocedure and postprocedure interventions if you had difficulty with this question. Which of the following should the nurse anticipate will be prescribed? Continue to monitor the client. Prepare for transcutaneous pacing. Hypotension and dizziness are signs of decreased cardiac output.

Transcutaneous pacing provides a temporary measure to increase the heart rate and thus perfusion in the symptomatic client. Digoxin will further decrease the client's heart rate. Defibrillation is used for treatment of pulseless ventricular tachycardia and ventricular fibrillation. Continuing to monitor the client delays necessary intervention.

Eliminate option 3 because the client is symptomatic and requires intervention. Option 2 is eliminated because digoxin will further decrease the client's heart rate. Defibrillation is used for treatment of pulseless ventricular tachycardia and ventricular fibrillation; therefore eliminate option 1. Review the indications for transcutaneous Thrombophlebitis Hunger if you had difficulty with this question. A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum.

Which of the following would the nurse anticipate when auscultating the client's breath sounds? Pulmonary edema is characterized by extreme breathlessness, dyspnea, air hunger, and the production of frothy, pink-tinged sputum. Auscultation of the lungs reveals crackles, Thrombophlebitis Hunger.

Rhonchi and diminished breath sounds are not associated with pulmonary edema. Stridor is a crowing sound associated with laryngospasm or edema of the upper airway. Recalling that fluid produces sounds that are called crackles will assist you in eliminating options 1, 3, and 4. If you had difficulty with this question, Thrombophlebitis Hunger, review the manifestations found in pulmonary edema. A client with myocardial infarction is developing cardiogenic shock.

Because of the risk of myocardial ischemia, for which of the following Thrombophlebitis Hunger the nurse carefully assess the client? Rising diastolic blood pressure 4. Falling central venous pressure. Classic signs of cardiogenic shock as they relate to this question include low blood pressure and tachycardia. The central venous pressure would rise as the backward effects of the severe left ventricular failure became apparent.

Use the process of elimination and focus on the strategic words myocardial ischemia. Recall that ischemia makes the myocardium irritable, producing dysrhythmias.

Also, knowledge of the classic signs of shock helps eliminate the incorrect options. Review the clinical manifestations associated with cardiogenic shock if you had difficulty with this question. The client received a single bolus of mL of intravenous fluid. Urine output for the subsequent hour was 25 mL. Based on these findings, the nurse would anticipate that the client is at risk for which of the following?

Acute renal failure 3. The client who undergoes cardiac surgery is at risk for renal injury from poor perfusion, hemolysis, low Thrombophlebitis Hunger output, Thrombophlebitis Hunger vasopressor medication therapy. Renal insult is signaled by decreased urine output and increased blood urea nitrogen and creatinine levels.

The client may need medications to increase renal perfusion and possibly could Thrombophlebitis Hunger peritoneal dialysis or hemodialysis, Thrombophlebitis Hunger. No data in the question indicate the presence of hypovolemia, Thrombophlebitis Hunger, urinary tract infection, or glomerulonephritis. Eliminate options 3 and 4 first Thrombophlebitis Hunger no data indicate infection or inflammation, Thrombophlebitis Hunger. Noting that the urine output is inadequate will assist you in eliminating option 1, Thrombophlebitis Hunger.

Review the complications associated with Thrombophlebitis Hunger surgery if you had difficulty with this Thrombophlebitis Hunger. A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiographic complexes on the screen. Which of the following should be the priority action of the nurse? Call a code blue. Thrombophlebitis Hunger the client status and lead placement. Press the recorder button on the electrocardiogram console.

Sudden loss of electrocardiographic complexes indicates ventricular asystole or possibly electrode displacement. Accurate assessment of the client and equipment is necessary to determine the cause Thrombophlebitis Hunger identify the appropriate intervention.

Options 1, 2, Thrombophlebitis Hunger, and 4 are unnecessary. Use the steps of the nursing process. Always assess the client directly before taking any action. Option 3 is the only option that addresses assessment. Review care of the client on a cardiac monitor if you had difficulty with this Thrombophlebitis Hunger. A client has frequent bursts of ventricular tachycardia on the cardiac monitor.

What should the nurse be most concerned about with this dysrhythmia? It can develop into ventricular fibrillation at any time. It is almost impossible to convert to a normal rhythm. It is uncomfortable for the client, giving a sense of impending doom, Thrombophlebitis Hunger. It produces a Thrombophlebitis Hunger cardiac output that quickly leads to cerebral and myocardial ischemia.

Ventricular tachycardia is a life-threatening dysrhythmia that results from an irritable ectopic focus that takes over as the pacemaker for the heart, Thrombophlebitis Hunger. The low cardiac output that results can lead quickly to cerebral and myocardial ischemia. Clients frequently experience a feeling of impending doom.

Ventricular tachycardia is treated with antidysrhythmic medications, cardioversion client awakeor defibrillation loss of consciousness, Thrombophlebitis Hunger. Ventricular tachycardia can deteriorate into ventricular fibrillation at any time.

Use the process of elimination and note the strategic words most concerned. Option 2 is incorrect and is eliminated first. From the remaining options, Thrombophlebitis Hunger, focusing on the strategic words will direct you to option 1 because this option identifies the life-threatening condition.

Review the concerns associated with ventricular tachycardia if you had difficulty with this question, Thrombophlebitis Hunger. A client is having frequent premature ventricular contractions. A nurse would place priority on assessment of which of the following? Sensation of palpitations 2. Causative factors, such as caffeine 3. Precipitating factors, such as infection 4. Blood pressure and oxygen saturation.


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