After a femoral popliteal resection, which assessment should be made every hour for the first 24 hours?

Monitoring the distal extremity color, temperature, pain, and pulse is crucial after a femoral popliteal resection. This surgical procedure can have significant implications for blood flow to the lower extremities, and it is essential to assess how well the patient is perfusing post-operatively.

Checking the color and temperature of the limb helps identify any signs of inadequate blood circulation, such as pallor or coolness, which may indicate complications like thrombosis or ischemia. Assessing pain levels, particularly any sudden increase in pain, is also critical as it may signify complications. The presence and quality of the pulse in the affected extremity provide direct information about blood flow, and any absent or weak pulse should be addressed immediately, as it could pose a risk of limb loss.

This comprehensive assessment every hour for the first 24 hours can help in early detection of postoperative complications, enabling timely interventions and improving patient outcomes. Other options, such as monitoring respiratory rate or electrolyte levels, while important in a broader context of postoperative care, do not specifically address the immediate concerns relating to vascular integrity and limb viability following this particular type of surgery.