If the patient is taking medications, monitoring the effects of prescribed medications. Assess the neurovascular status of the legs and any deterioration in circulation.
Place lamb's wool between the toes of the patient to prevent pressure necrosis. If he has ulcers, provide wound care, if necessary. Assess the ulcer for signs and symptoms of infection. Cover the ulcer with a dry sterile dressing, topical antibiotic or other products for wound care, as ordered.
If the patient hashad surgery for peripheral vascular disease, check his leg for color, temperature, sensation, movement and momentum during the post-operative. Immediately report the loss of pulses. Observe the incision site for redness, swelling and drainage.
Turning and repositioning the patient every 2 hours. Tell him not on his leg and hip or severe knee flexion should be avoided. To support the movement, add a footboard on the bed with a sheepskin under the legs, and put on a planePressure or other special mattress.
If the patient percutaneous trans-luminal angioplasty or another form of surgery underwent catheterization to evaluate the site of bleeding, swelling, bruising and contusions. Monitor his peripheral pulses every 15 to 30 minutes for the first hour, every hour for the next 4 hours and then once every 4 hours. To assess the leg and sudden changes in color and temperature. He also looks at muscle cramps, pain at rest, and changes in the motorand sensory function. Manage monitor heparin, PTT, and adjust the infusion rate, if necessary.
Some More Facts
Teach your patient how to promote circulation. Help him develop a progressive exercise program to develop collateral circulation and improve venous return. Instruct him to stop exercising if you feel pain. Also tell him to inspect their feet daily for color changes, spots, scabs, skin texture changes, skin damage, and changes in hair growth.
Inform the patientChange positions frequently to avoid blood pooling in the feet. Teach him to perfusion with legs and feet warm and promote the prevention of vasoconstrictor substances such as caffeine and nicotine. Tell him that can inhibit the use of tight, restrictive clothing on the legs, the blood flow.
If your doctor has prescribed an anticoagulant, its therapeutic effect, dosage and side effects associated check with your patients. Tell him he needs frequent blood tests can be run in such a way thatMonitor the effectiveness of the drug.
If the patient will have a home care nurse, tell him he has the legs and feet to evaluate the changes. They will also assess the wounds and cuts to provide wound care, and assess areas at risk of infection. And 'reinforced to carry foot care and teach self-care. And you can see how it sits and is recommended for the best positions to sit up and raise your legs.
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