Nothing Special   »   [go: up one dir, main page]
Scribd Logo
Upload

Welcome to Scribd!

  • 19 views

    Medical Management: Treatment Measures Include The Following

    Uploaded by

    Joeven Hilario
    The main objectives of medical management for peripheral arterial disease are to improve circulation to the extremities, prevent disease progression, and protect the extremities from trauma and infection. Treatment includes stopping tobacco use, regional sympathetic blocks or ganglionectomy to increase blood flow, and conservative debridement of necrotic tissue for ulcers or gangrene. Amputation may be necessary for worsening gangrene, severe rest pain, or sepsis. Nursing management focuses on increasing blood supply and decreasing venous congestion through limb elevation and exercises, as well as promoting vasodilation, preventing trauma, and managing pain and risk of skin breakdown.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd

    Medical Management: Treatment Measures Include The Following

    Uploaded by

    Joeven Hilario
    19 views10 pages
    The main objectives of medical management for peripheral arterial disease are to improve circulation to the extremities, prevent disease progression, and protect the extremities from trauma and infection. Treatment includes stopping tobacco use, regional sympathetic blocks or ganglionectomy to increase blood flow, and conservative debridement of necrotic tissue for ulcers or gangrene. Amputation may be necessary for worsening gangrene, severe rest pain, or sepsis. Nursing management focuses on increasing blood supply and decreasing venous congestion through limb elevation and exercises, as well as promoting vasodilation, preventing trauma, and managing pain and risk of skin breakdown.

    Original Description:

    MS nursing

    Original Title

    Buergers

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The main objectives of medical management for peripheral arterial disease are to improve circulation to the extremities, prevent disease progression, and protect the extremities from trauma and infection. Treatment includes stopping tobacco use, regional sympathetic blocks or ganglionectomy to increase blood flow, and conservative debridement of necrotic tissue for ulcers or gangrene. Amputation may be necessary for worsening gangrene, severe rest pain, or sepsis. Nursing management focuses on increasing blood supply and decreasing venous congestion through limb elevation and exercises, as well as promoting vasodilation, preventing trauma, and managing pain and risk of skin breakdown.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    19 views10 pages

    Medical Management: Treatment Measures Include The Following

    Uploaded by

    Joeven Hilario
    The main objectives of medical management for peripheral arterial disease are to improve circulation to the extremities, prevent disease progression, and protect the extremities from trauma and infection. Treatment includes stopping tobacco use, regional sympathetic blocks or ganglionectomy to increase blood flow, and conservative debridement of necrotic tissue for ulcers or gangrene. Amputation may be necessary for worsening gangrene, severe rest pain, or sepsis. Nursing management focuses on increasing blood supply and decreasing venous congestion through limb elevation and exercises, as well as promoting vasodilation, preventing trauma, and managing pain and risk of skin breakdown.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 10

    Medical Management

    Main objectives are to improve circulation to the extremities, prevent the progression of the disease, and protect the extremities from trauma and infection. Treatment measures include the following: Completely stopping use of tobacco. Regional sympathetic block or ganglionectomy produces vasodilation and increases blood ow. Conservative debridement of necrotic tissue is used in treatment of ulceration and gangrene. If gangrene of a toe develops, usually a below-knee amputation, or occasionally an above-knee amputation, is necessary. Indications for amputation are worsening gangrene (especially if moist), severe rest pain, or severe sepsis. Vasodilators are rarely prescribed (cause dilation of healthy vessels only).

    Ganglionectomy

    Nursing MGT:

    Nursing Diagnosis: Ineffective tissue perfusion related to compromised circulation


    Goal: to increase blood supply to extremities

    Nursing intervention: Lower the extremities below the level of the heart Encourage moderate amount of walking or graded extremity exercises

    Goal: to decrease in venous congestion


    Nursing interventions: Elevate extremities above the heart level Discourage standing still or sitting for prolonged periods Encourage walking

    Goal: Promotion of vasodilatation and prevention of vascular compression


    Nursing intervention Maintain warm temp. And avoid chilling Discourage use of tobacco produces Councel in ways to avoid emotional upsets Stress management Encourage avoidance of constrictive clothing and accessories Encourage avoidance of crossing the legs Administer vasodilator medication and adrenergic blocking agents as prescribed

    Nursing Dx: Chronic Pain related to impaired ability of peripheral vessels to supply tissue with O2
    Nursing intervention Promote increase circulation Administer analgesic agents as prescribed with appropriate nursing consideration

    Nursing Dx: Risk for impaired skin integrity related to compromised circulation
    Goal: Attainment/Maintenance of tissue integrity Nursing Intervention Instruct in ways to avoid trauma to extremeties. Encourage wearing protective shoes and padding for pressure areas; wear new shoes for short period of time and inspect feet for signs of injury. Encourage meticulous hygiene: bathing with neutral soaps, applying lotions and carefully trimming nails. Caution to avoid scratching or vigorous rubbing. Promote good nutrition; adequate intake of vitamins A and C, protein and zinc and control of obesity.

    You might also like