Femoral-Popliteal Bypass Surgery

  1. General information
    1. Most common type of surgery to correct arterial obstructions of the lower extremities
    2. Procedure involves bypassing the occluded vessel with a graft, such as Teflon, Dacron, or an autogenous artery or vein (saphenous).
  2. Nursing interventions: preoperative
    1. Provide routine pre-op care.
    2. Monitor and correct potassium imbalances to prevent cardiac arrhythmias.
    3. Assess for focus of infection (infected tooth) or infectious processes (urinary tract infections).
    4. Mark distal peripheral pulses.
  3. Nursing interventions: postoperative
    1. Provide routine post-op care.
    2. Assess the following
      1. Circulation, noting rate, rhythm, and quality of peripheral pulses distal to the graft; color; temperature; and sensation
      2. Signs and symptoms of thrombophlebitis (see below)
      3. Neuro checks
      4. Hourly outputs
      5. CVP
      6. Wound drainage, noting amount, color, and characteristics
    3. Elevate legs above the level of the heart.
    4. Encourage turning, coughing, and deep breathing while splinting incision.

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