|Home||PART 4: ACTIVITY-EXERCISE PATTERNS||Chapter 35: Nursing Care of Clients with Peripheral Vascular Disorders||Case Studies|
Client's Name: Catherine Helman
Abstract: Catherine Helman, age 70, was admitted to the medical-surgical unit post-operatively following an embolectomy which was performed due to an arterial embolism to the right popliteal artery.
Objectives: Explain risk factors for and measures to prevent peripheral vascular disorders and their complications.
Assess clients with peripheral vascular disorders, using data to select and prioritize appropriate nursing diagnosis and identify desired outcomes of care.
Catherine Helman, age 70, came to the emergency room after she developed severe pain, along with pallor and numbness in her right leg below the knee. With the aid of a Doppler study of her rt lower extremity, she was diagnosed as having an acute arterial embolism to the right popliteal artery.
An emergency embolectomy was performed to relieve the obstruction and restore arterial circulation to the leg. She was transferred to the medical-surgical unit following the procedure. She has a history of hypertension and arteriosclerotic cardiovascular disease. She had recently quit smoking after having a 40-year history of smoking up to 1 pack/day. Her vital signs upon transfer to the medical-surgical unit include: T 99.2, P 68, R 18, BP 108/68. She is 5 feet 4 inches tall and current weight as per the ER chart is 145 pounds. She takes Propranolol (Inderal) 40 mg. p.o. bid and Dipyridamole (Persantine) 75 mg. p.o. bid.