Asked by Elizabeth Garrity on May 07, 2024
Verified
A patient with a history of mitral valve replacement,hypertension,and type 2 diabetes mellitus undergoes emergency surgery to remove an embolus in her right leg.Which factor contraindicates the use of epidural analgesia in this patient?
A) Anticoagulant therapy
B) Diabetes mellitus
C) Hypertension
D) Embolectomy
Mitral Valve Replacement
A surgical procedure to replace the mitral valve in the heart, which may be necessary due to disease or malfunction.
Epidural Analgesia
A regional anesthesia that blocks pain in a particular area of the body, commonly used during childbirth and certain surgeries.
Anticoagulant Therapy
Medical treatment involving the use of drugs to prevent blood clots, reducing the risk of strokes and other clots-related complications.
- Identify the necessity for personalized pain management strategies, tailored according to the patient's medical history and current state.
- Determine methods for the prevention and management of adverse reactions and complications in pain management.
Verified Answer
ZK
Zybrea KnightMay 07, 2024
Final Answer :
A
Explanation :
Patients who undergo mitral valve replacement typically require long-term anticoagulant therapy.Anticoagulant therapy is a contraindication for epidural analgesia use because of the risk for spinal hematoma and uncontrolled bleeding.Diabetes and hypertension are not contraindications for epidural analgesia.Epidural analgesia is commonly used after embolectomy because certain anesthetic agents,such as bupivacaine,help prevent vasospasm.
Learning Objectives
- Identify the necessity for personalized pain management strategies, tailored according to the patient's medical history and current state.
- Determine methods for the prevention and management of adverse reactions and complications in pain management.