Question

Gloria Sanchez is an 87-year-old Hispanic female with a past medical history of Type II Diabetes Mellitus. Two weeks ago, she had an uncomplicated femoral-popliteal bypass graft and was sent home with instructions to monitor the site for signs and symptoms of infection. She presented to the ED with general malaise, nausea, weakness x 5 days. Allergies: NKDA

1. What is a femoropopliteal bypass? Describe possible postoperative complications. 2. What actions can be taken to prevent contamination during a sterile procedure? 3. What are the signs and symptoms of hyperglycemia and hypoglycemia? How would each be treated? 4. Describe the significance when a RN needs to be sterile vs. clean during a wet-to dry dressing change. 5. What would be appropriate teaching strategies for an elderly, Hispanic patient in regards to diabetic foot care? 6. Compare and contrast the clinical manifestations, underlying pathophysiology

Answer 1

Femoral pobliteal e. femoropopliteal bypass a kind of surge procedure used to perjormed to aitery piece of onother blood vesse is i's treat emoraarfery disea se t is the blocked portion of main 베posc in eg ucing Complitation osibiliy afier Sugey a the DIrrequlor heart beat Bleeding Edema 4 Fluid in the lungs As Heart Attd ck sten'le Ahoulal When any of the equipmen ls that be used pobery Ond oith cate to avoid contamin- are The stente frays should be set up as close ahon UStay orgonize d and tomplete possible to the time procedures Use SOON as as sooo Symptoms o Hy per glycenua X )increased thirct 2) Headaches 3) Blurred Vfsion 40 Fahique Symplons of Hypogyemuà 0 Excecaive hunger Mental confusto 3faiting ) Anxiery