abdominal aortic aneurysm

Marfan syndrome

(also called Marfan's syndrome) is a genetic disorder of the connective tissue.

treatment of aaa

Endoluminal Graft Insertion for Abdominal Aortic Aneurysm Repair the doctor uses a catheter (thin, flexible tube) to guide a graft through a blood vessel and place it inside the aneurysm. remain in the hospital overnight and go home the next day.

Endoluminal Graft Insertion for Abdominal Aortic

Endoluminal Graft Insertion for Abdominal Aortic Aneurysm done in stable clients

abdominal aortic aneyrysm is

abnormal dilation in arterial wall generally in aorta between renal arteries and illac branches

diagnosis of aaa

anterior and posterior xray and lateral x ray which shows calcification of aaa

systolic bruit

any abnormal sound or any murmur heard during systole.

diagnosis of aaa

aortography picture of the aorta shows picture of vessel proximal near or far aorta but not show size because this picture only shows blood flow not size or alternate is mri

causes of aaa

artersclersosis, blunt trauma, marfarn syndrome, cystic medial necrosis, htn, syphillis, tramua

Calcification in the abdominal aorta represents a special case of

atherosclerosis remember this is one of the cause of aaa

signs and symptoms of aaa

back pain, spread to flank or groin from pressure on lumbar nerves

treat aaa with

beta blockers to reduce risk of anyerusm spreading

Beta blockers, also known as

beta-adrenergic blocking agents, are medications that reduce your blood pressure.

Beta blockers also help blood vessels open up to improve

blood flow.

better image of arotic dissection

blood in the artery wall

diagnosis of aaa

ct scan to see the size

with aaa be aware of rupture with

decreased bp, tachycadia, hihg pulse rate high respiratory rate cool clammy skin restless

Beta blockers work by blocking the effects of the hormone

epinephrine, also known as adrenaline. When you take beta blockers, the heart beats more slowly and with less force, thereby reducing blood pressure

treatment of aaa

external graft if have poor distal runoff

AFTER surgery suction et tube

freq if they can breath on their own and good breath sounds and good abg then they will be extubated 24 hrs after and get oxygen by mask

pneumonic antishock garment

garment-like device placed around a patient's legs and abdomen (it has 2 separate chambers) and inflated to provide emergency treatment of shock until

after surgery watch for

high pulse, back pain, respitory rate, low bp might mean graft is breaking

Ultrasound or ultrasonography

is a medical imaging technique that uses high frequency sound waves and their echoes

purpose of surgery with aaa

lets compression or stopping of the leaking blood from aorta to controll bleeding

cystic medial necrosis

loss of elastic and muscle fibers in the aortic media,

signs and symptoms of aaa

low peripheral pulses or claudication if embolization occurs meaning if the aaa is big remember there are emboli that can be located in the balloon area of artery that can move and cause embolization

signs and symptoms

most no symptoms but has have pulsating mas in periumblical area unless obese with systolic bruit over aorta

treatment of aaa

or polyetraflorlthele graft the diseased area of the abdominal aorta is carefully removed and replaced by an artificial graft

after surgery ng tube

put for intestinal decompression irrigate tube for patency

treatment aaa

regular check up to see if its getting worse

Murmurs are pathologic heart sounds that are produced as a

result of turbulent blood flow that is sufficient to produce audible noise

aortic rupture is

rupture when blood vessel bust open dissection

complication aaa

rupture, obstruction of blood flow to other organs, embolization to leg or peripheral artery, diminished blood flow causing organ failure

signs and symptoms of aaa

severe back and abdominal pain IF it ruptures into the peritoneal cavity

what are renal complication with aaa

since if there is rupture there is less blood less oxygen to kidneys then kidney cell die ischemia and watch for renal failure might need hemidialysis

aaa diagnosed by

sonography serial ultrasound this shows the size shape and location

with aaa if rupture occurs then

surgery fast and use pneumonic antishock garment

treatment is aaa

surgery if aaa is bigger than 2 inches or five cm an incision (cut) is made in the abdomen. Then the abdominal aorta above and below the aneurysm is controlled and clamped to stop bloodflow, which enables the aneurysm to be opened up and a new artificial artery sewn in to replace the dilated segment. The clamps are then removed to restore the bloodflow, and the abdomen is sewn up.

pre op teaching

tell them of possible et and ng intubation and mechanical ventilation

with aaa

the ballooning occurs so that debris and thrombi fill it normally its fusiform

treatment of aaa

treat high cholesterol hyperchlesterlemia and htn

help pt after surgery

walk usually second day

signs and symptoms of aaa

weakness, sweating, tachycardia and low blood pressure if it ruptures

before aaa surgery

weight them, put in foley, and iv adn help with putting in arterial line and pulmonary artery cath to monitor hemondyminc status give ab if ordered