Acute limb ischemia

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  • Acute limb ischemia
70-years-old female with intermittent pain in the left calf, that gets stronger during physical activities throughout the day. At night she is awakened by a strong pain reacting to analgesics. Four hours later she is awakened again, the pain is stronger than before and the position that used to releive the pain does not bring any comfort. The woman suffers from hypertension and atrial fibrilation. She complains about feeling formications in her left calf and also she reports her calf being cold. How would you react like a family?

We set the patient into half-sitting position and arrange the leg into lower position. We do not administer any analgetics nor any liquids and we call an ambulance.

Correct answer

We ensure professional help for the patient, problems could worsen anytime.


Continue

We set the patient on the back, arrange the leg into elevated position, we do not warm the limb and do not administer any analgetics or liquids. We call an ambulance.

Wrong answer

Antishock treatment is not necessary. We do not warm or elevate the limb as hypoperfusion of the leg could worsen current ischaemia (steal fenomenon).


Back

We set the patient on the back, arrange the leg into elevated position, we warm the limb with tepid poultice and take her to the hospital.

Wrong answer

We do not warm or elevate the limb as hypoperfusion of the leg could worsen current ischaemia (steal fenomenon).


Back

 
RR

not available

HR

not available

SpO2

not available

BP

not available

ECG

not available

 

Gly

not available

ABG

not available

CBC

not available

biochemistry

not available