Question

PART ONE Medical Surgical Cases 7. In addition to risk factor modification, what other measures to improve tissue perfusion or prevent skin damage should you recommend to SP 8. S.P. tells you his neighbor told him to keep his legs elevated higher than his heart and ask for compression stockings to keep swelling in his legs down. How should you respond? C 9. S.P. recently got hit on the right shin with a softball and now complains of constant right lower extremity pain. What should you be concerned about? CASE STUDY PROGRESS You caution S.P. to avoid repeated injury to his already compromised leg. He assures you he doesn't want to lose his leg and will be more careful in the future. Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier

Answer 1

7. Measures to improve tissue perfusion:

he should limit salt intake and taje prescribed antihypertensive drugs

he can use compression stockings and elevate his lower limbs while taking rest.

He should restrict fat intake, processed food, fried foods so as to regulate cholesterol level.

proper moisturisation of the skin may also help

8. yes, his neighbour is advising him right measure as by keeping legs elevated and wearing compression stocking will prevent pooling of blood in lower limbs. Compression stockings reduces the diameter of distended veins and increases venous blood flow velocity and valve effectiveness.By compressing the surface veins, arteries and muscles, they force circulating blood through narrower channels.

9. Patient may develop critical limb ischemia that may lead to amputation.