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Case Study 5, image, image, image, image, image - Coggle Diagram
Case Study 5
homelessness
lack of family/social support
where to discharge
how to obtain consent
unconscious
no family
emergency surgery (life or limb)
proper documentation
possible hesitancy to seek healthcare
low income/inability to pay expenses
social worker referral
connections to charities or other organizations that can provide support
amputation
post op complications
infection
bleeding
pneumonia
blood clots
wound dehisence/delayed healing
rehab and prosthesis
indications for amputation
blood flow absent and unable to be restored
gangrene/necrosis
trauma
psychosocial support
discharge teaching
limb care
crutch walking
care for remaining foot
signs of infection
diet/lifestyle changes
pain management
non-pharmalogical intervention
analgesics
phantom limp pain
post op care
ROM
positioning
encourage mobilization
neurovascular assessment
Peripheral Arterial Disease
risk factors
smoking
diabetes
obesity
high cholesterol
increased age
family hx
signs and symptoms
cramping in hips/thighs/calves
leg numbness/weakness
feeling of cold in lower leg
sores on toes/feet/legs
change in colour of legs
hair loss
weak or no pulse in legs/feet
intermittent claudication
complications
amputation
poor wound healing
restricted mobility
severe pain in extremity
stroke
ulcers, gangrene, necrosis
lifestyle modifications
diet
exercise
treating the cause
blood pressure monitor
weight loss/ smoking cessation
foot/wound care
medications
analgesics for pain
anticoagulants: LMWH, warfarin, aspirin
anti-lipidemics
Cilostazol
Diagnostics/assessments
blood work/lab values
Doppler ultrasound
physical exam/health hx
cardiovascular assessment
ankle-brachial index
neurovascular assessment
blood transfusions
ABO compatibility
when to give
low hemoglobin/hematocrit
severe hemorrhage
symptomatic anemia
safety measures
proper patient identification
double check with another nurse
start infusion slow
stay with patient for first 15 minutes
discontinue if reaction occurs
adverse reaction to blood transfusion
fever
chills
hives/skin irritation
concentrated urine
dizziness
shortness of breath
back/flank pain
types of blood transfusions
whole blood
packed red blood cells
platelets
plasma
assessments
monitoring fluid balance
effects
vital signs (before, during, after)
appropriateness of the intervention
lab values
patient's blood type
sepsis
signs and symptoms
severe muscle pain
decreased urine output
confusion/disorientation
clammy/sweaty skin
fever
elevated heart rate
shortness of breath
Interventions
fluid replacement
nutritional therapy
oxygenation
blood work
accurate intake and output
IV antibiotics
monitor vital signs
treating the source
fluid and electrolyte balance
causes
bacterial infection
other type of infection
can begin anywhere in the body
septic shock
blood pressure fails
severe decrease in tissue perfusion of organs
multiple organ failure
life threatening
