Symptoms And Treatment Of An Infected Surgical Incision Of...

A 63-year-old male patient is admitted for an infected surgical incision of fasciotomy in the right low extremity blow the knee. He is medically diagnosed with peripheral arterial disease (PAD), and femoral popliteal bypass surgery is performed to treat the blocked area of femoral artery in the leg. Postoperatively acute compartment syndrome occurred in the affected leg. Fasciotomy is used to treat muscular bleeding inside that increases pressure in the compartment. The leading cause of PAD is atherosclerosis, which gradually narrows the intima of the arterial wall (Lewis, Heitkemper Bucher, 2014). The narrowed artery reduces perfusion to the extremities, especially the lower extremities, and results in lower extremity†¦show more content†¦It looks very red (dependent rubor) compared to the other leg. It feels cool and his toe nails are thick and brittle. The skin of the leg looks taut and shiny with no hair. He states he has no pain in the leg but experiences sharp pain wh en pressure is applied around his ankle area. After breakfast, he moves to the bed, and the leg’s skin color becomes less reddish. His blood pressure in the morning on that day is within the targeted range, 115/66, left arm, sitting position. He has no fever and is alert and oriented x4. He is on contact isolation that requires gowns and gloves with a sign on the door per hospital protocol. His related functional changes are decreased activity tolerance due to insufficient peripheral perfusion to the lower extremities and emotional changes – depression and anxiety about his medical condition and a loss of functional capacity affecting his ability to work and daily living activities. Diagnostic Tests The patent takes IV antibiotic, Vancomycin, due to a post-op wound infection and sepsis. Vancomycin trough needs to be monitored during his antibiotic treatment to keep the blood concentration of Vancomycin remaining in the therapeutic range and prevent any side effects suc h as nephrotoxicity, phlebitis, hypotension, and ototoxicity. On the morning of April 3, the result of Vancomycin trough isShow MoreRelatedHesi Practice31088 Words   |  125 PagesInsulin requirements increase greatly during labor. 3. A client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these as signs and symptoms of A. right-sided heart failure. B. acute pulmonary edema. C. pneumonia. D. cardiogenic shock. 4. What s the most appropriate nursing diagnosis for a client exhibiting obsessive-compulsive behavior? A. Ineffective coping. B. Imbalanced nutrition: