Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Cardiac Nursing /

Aortic enlargement vs. aneurysm question



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 385,884 members! Join today to network with other nurses, laugh, share, and much more.

Jun 24, 2009 10:27 PM

Aortic enlargement vs. aneurysm question


Hi all you wonderful cardiac nurses!! I have a question abt something that I am struggling to find an answer for. Pt with COPD in the history, going for a cholecystecomy. Preop testing finds an enlarged aorta, measurement of 5, discussion of bringing in a thoracic surgeon to eval pt as well. I am working med-surg for the pre and post op inpt stay. Now, my question is....is enlargement the same as aneurysm? I am thinking they are two totally different things, however another nurse thinks they are the same.

Thanks in advance for helping me clear this up!


Share: Submit Thread to Facebook Submit Thread to Twitter Submit Thread to Technorati Submit Thread to Google Submit Thread to Reddit

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
1 Comment
No. 1
from dianah
Old Jun 24, 2009, 11:00 PM

Default Re: Aortic enlargement vs. aneurysm question
From an article I found here: http://emedicine.medscape.com/article/416266-overview

"An aneurysm is defined as a localized dilation of an artery by at least 50% as compared with the expected normal diameter of the vessel. . . .

"Most aneurysms (80%) demonstrate progressive enlargement. The diameter of an aneurysm is directly related to its risk of rupture. For aneurysms smaller than 4 cm in diameter, the risk of rupture is less than 10%. Once an aneurysm is 4-5 cm in diameter, the risk of rupture increases to almost 25%, with an associated mortality rate as high as 75%. The accepted surgical mortality rate remains less than 5% with the elective repair of these 4- to 5-cm aneurysms. . . "


Do a search for "aortic aneurysm diagnosis" and see what else you can come up with.
The wording and phrasing used by the Radiologist in interpreting any imaging (CT, MRI, Abd Xray, US, etc) may help too.
Since you mention bringing in a vascular surgeon, her MDs may well suspect an aneurysm, and want to assess risk VS benefit of going ahead w/the chole.
Top

1 Reader Gave Kudos
 
Reply




Thread Tools


Who's Online
412 members
3,859 guests
4,271

15

Doctors-in-short-supply-responsibilities-for-nurses-may-expa...

8

Less regular sleep for ICU nurses may lead to errors

16

Nurse sends unused medical supplies to needy nations

24

Premature Births Are Fueling Higher Rates of Infant...

6

MRSA Strain Linked to High Death Rates

25

RI hospital fined $150,000 in 5th wrong-site surgery since...

64

Nursing: One of the 6 Thriving Jobs that are Here to Stay???

90

Dad Fights Hospital to Keep Baby on Life Support

12

A nurse can dream...about awesome nursing

17

California Nursing Situation - CINHC's plan to help New...






Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: