A Brief Note On The Health Care Provider

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There is a critical situation that we are faced with today. We must dissect all the information and evidence in order to help the patient and her family through a tough decision. This is the current situation, L.D. a 39-year-old woman was admitted to the hospital and the health care provider noticed that L.D. has a rare illness called Arteriovenous malformation (AVM). AVM is an abnormal connection between arteries and veins bypassing the capillary system. “They typically consist of two or more feeding arteries, a knot of abnormal vessels referred to as the ‘nidus’, and one or more veins (Machet, et al., 2012).” The health care provider considered L.D. condition to be an emergency because she was hemorrhaging, so the health care provider …show more content…

The problem with AVM is considered to be critical. The treatment goal was not clearly stated, but it seems as if it is neurosurgical process that was preformed left her with severe neurological damage. There are four treatment options that should be recommended to help with the patient current condition, and these are microsurgical removal, endovascular embolization, intravascular embolization and radiosurgical. In microsurgical removal, a microscope is used to assist the surgeon with removing the AVM from surrounding brain tissue. Endovascular involve the doctor inserting a long, thin tube into the patient leg artery and threads it through blood vessels to the patient brain using X-ray imaging. This tube allows the doctor to inject an embolizing agent, which may include a glue-like substance or other materials, to block the artery and reduce blood flow into the AVM. The radiosurgical procedure includes the use of radiation to destroy the AVM (Rispoli, Di Chirico, Sibille, & Carletti, 2013). Each of these treatments should be carefully evaluated with a patient that is pregnant. Since L.D. has hemorrhage on the brain, cerebral angiography should be performed because it can be safe for her unborn child. Cerebral angiography reveals important details about the AVM such as location, size, feeding arteries, and drainage. The fetus is rarely affected by the material that is used during testing if the fetus is shielded

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