A patient arrives in the emergency department with complaints of pain, cramping, and weakness of the calf muscles while walking. The nurse would be correct to suspect ___________ and anticipate the administration of ___________
a. thrombophlebitis; heparin
b. tendonitis; cephalosporins
c. intermittent claudication; cilostazol (Pletal)
d. deep vein thrombosis; streptokinase (Streptase)
ANS: C
Intermittent claudication is a syndrome characterized by pain, cramping, and weakness of the calf muscles that is brought on by walking and relieved by resting a few minutes. Cilostazol, a platelet inhibitor and vasodilator, is used to treat intermittent claudication.
The patient's clinical manifestations do not correlate with thrombophlebitis, which is characterized by localized pain, warmth, and swelling. Typical treatment includes cool followed by warm compresses and elevation.
The patient's clinical manifestations do not correlate with tendonitis, which is characterized by tendon tenderness. Cephalosporins are not indicated in the treatment of tendonitis.
The patient's clinical manifestations do not correlate with DVT, which is characterized by edema, tenderness, and a feeling of heaviness in the affected extremity. Streptokinase may be used for DVT but would not be a first-line treatment.
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