Nursing Student Class Projects (Formerly MSN)

Date of Award

2019

Document Type

Project

Course Number

NURS 5330

Course Name

Advanced Pathophysiology

Professor’s Name

Dr. Chovan

Keywords

Aneurysm, pathophysiology, aortic aneurysm risk factors, case study, nursing interventions

Subject Categories

Medicine and Health Sciences | Nursing

Abstract

An aneurysm is a bulging or outpouching of the vessel wall which can progress to a dissection or a tear in the vessel wall. There are two types of classification for aortic aneurysms based on the Standford classification: type A involving the ascending aorta, and type B involving the descending aorta. Major risk factors for aortic aneurysms are hypertension, smoking, and male gender. Aortic aneurysms can be asymptomatic or include a wide range of symptoms such as vague back pain that radiates, and shortness of breath. The overarching pathophysiology is inflammation causing a breakdown in elastin and collagen. Inflammation, oxidative stress, vascular smooth muscle apoptosis, and proteases lead to further inflammation and vessel wall breakdown through inflammatory mediators such as IL-6, MCP-1 and T-cells. A case study of a 51-year-old male with classic risk factors and signs of an aortic aneurysm is discussed. Nursing implications are based on either medical or post-surgical management. In conclusion, aortic aneurysms are dilated areas of the vessel wall which are weakened by inflammatory mediators leading to further dilation and eventual dissection and rupture which are medical emergencies showing signs of hypovolemic shock.

Included in

Nursing Commons

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.