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ACUTE ARTERIAL OCCLUSION

Age: >65 y.o, Gender: Male Familial Disposition/ Genetics Stress


Accompanied with 6
lead to

Diet -High Fat diet

Sedentary Lifestyle

Smoking/Nic otine use


leads to leads to

Hyperhomoc ysteinemia

Diabetes Mellitus
Results to

Obesity
Development Fatty Streaks of Lipids

Hypertension

Decreased blood flow to the extremities, Increase HR, and BP


results to

promotes Coagulation by increasing factor V and factor XI activity while depressing protein C activator

Janel Darren B. Tampos BSN3A Presentor

Will be deposited 5 Intima of Arterial Walls lead to Injury to the vascular endothelium attracts Inflammatory cells presence Macrophages infiltrate the injured vascular endothelium releases Biochemical Substances, damages the endothelium resulting to Attracts platelets and initiates clotting

Clot formation by increasing the aggregation of platelets leads to Excessive accumulation of platelets/ clotting results to Thrombus formation leads to Emboli 2 4 may lead to Ischemia

Narrowing of the artery results to Peripheral pressure leads to Increased the binding of lipoprotein in fibrin

Pentoxifylline Heparin

Upper extremities: Ataxia, vertigo, syncope, bilateral visual changes

Occlusion of the arterial lumen

Pain, pallor, pulselessness, paresthesia, paralysis, coolness

ABI
CT

3 would result to Ischemic Necrosis


Gangrene, cyanotic, dimished hair and nail growth

Arteriotomy may occur

Embolectomy

Right Common Carotid

Vertebral

Right Subclavian

Aortic Arch

Celiac Trunk

Right Renal

Superior Mesenteric

Common Femoral

Deep Femoral

Superficial femoral

Posterior Tibial

Anterior tibial

Left common iliac

Internal Iliac

Legend: Predisposing Factors Precipitating Factors Pathophysiologic Flow S/sx

Dx Tests Medical Management

Surgical Management

Nursing Diagnosis

Nursing and Medical Managements: -Smoking Cessation -Management of Diabetes -Management of Hypertension -Management of Cholesterol --Aspirin and Clopidrogel -Regular Exercise --Treadmill exercise (35 to 50 minutes, 3 to 4 times per week)

Nursing Diagnoses:
1. Chronic Pain r/t the occlusion of the arterial lumen 2. Ineffective peripheral tissue perfusion r/t compromised circulation 3. Activity Intolerance r/t decreased oxygen supply to the peripheral tissues 4. Risk for injury r/t decreased oxygen and nutrient transportation to the brain 5. Impaired skin integrity r/t death of the tissues 6. Knowledge Deficit r/t the extent of the disease