What postoperative care will the nurse provide for AAA?

What postoperative care will the nurse provide for AAA?

The patient should be monitored in the surgical intensive care unit for hemodynamic stability, bleeding, urine output, and peripheral pulses. Postoperative ECG and chest radiography are indicated. Prophylactic antibiotics (eg, cefazolin 1 g) are administered for 24 hours.

What is the nursing management of aneurysm?

Nursing Management Auscultate for a bruit over the abdominal aorta. Determine if there is tenderness on palpation (do not palpate too deep as there is a risk of rupture). Ask if the patient has abdominal or lower back pain. Check blood pressure to determine if a rupture has occurred.

What is the priority nursing management for aortic dissection?

Immediate patient transfer to the intensive care unit (ICU) is a high priority. Nursing interventions should begin as soon as aortic dissection is suspected, and typically include the following: Institute intubation or mechanical ventilation, as ordered, if the patient is hemodynamically unstable.

What common complications may occur after a AAA repair?


  • Damage to surrounding blood vessels, organs, or other structures.
  • Kidney damage.
  • Loss of blood flow to leg or feet from a blood clot.
  • Groin wound infection.
  • Groin hematoma (large blood-filled bruise)
  • Bleeding.
  • Endoleak (continual leaking of blood out of the graft and into the aneurysm sac with potential rupture)

What can I expect after aortic aneurysm surgery?

You can expect the cut (incision) in your chest to be sore for a few weeks. If you have stitches or staples in your incision, the doctor will take these out 1 to 3 weeks after surgery. You will feel more tired than usual for several weeks after surgery.

What is the postoperative care for abdominal aortic aneurysm AAA )?

You will feel more tired than usual for several weeks after surgery. You may be able to do many of your usual activities after 4 to 6 weeks. But you will probably need 2 to 3 months to fully recover. For 6 weeks, it is important to avoid strenuous activity and heavy lifting.

What are the aneurysm precautions?

If you have an unruptured brain aneurysm, you may lower the risk of its rupture by making these lifestyle changes:

  • Don’t smoke or use recreational drugs.
  • Control your blood pressure if you have high blood pressure.
  • Eat a healthy diet and exercise.

What are the nursing diagnosis for aneurysm?

Based on the assessment data, the patient’s major nursing diagnoses may include the following: Ineffective tissue perfusion related to bleeding or vasospasm. Disturbed sensory perception related to medically imposed restrictions. Anxiety related to illness and/or medically imposed restrictions (aneurysm precautions).

Which of the following is a common treatment for abdominal aortic aneurysm?

Endovascular repair. This procedure is used most often to repair an abdominal aortic aneurysm. A surgeon inserts a thin, flexible tube (catheter) through an artery in the leg and gently guides it to the aorta.

What are complications of aortic aneurysm surgery?

3.7. As with endovascular repair complications include ischemia, and renal dysfunctions. Late complications include incisional hernia, anastomotic aneurysm, graft infection and aortoenteric fistula. Late complications occur in 9.5% of patients [71].

How long does it take to recover from aortic aneurysm surgery?

Most people need at least 4 to 6 weeks to recover from thoracic aneurysm surgery. If your aneurysm is extensive, involves intervention to repair other complications, or if you have other conditions such as heart, lung or kidney disease, recovery may take 2 to 3 months.

How long is recovery from aneurysm surgery?

It can take 4 to 8 weeks to fully recover. The incisions may be sore for about 5 days after surgery. Your scalp may swell with fluid. You may also have numbness and shooting pains near your wound.