Final answer:
To manage suspected mesenteric ischemia in a 75-year-old woman with worsening pain, stabilize the patient and consult a surgeon and interventional radiologist for further evaluation. Treatment options may include angiography or surgery to restore blood flow to the affected intestine. Close monitoring and management of underlying conditions is important to prevent future episodes.
Step-by-step explanation:
Mesenteric ischemia is a condition where there is reduced blood flow to the intestine, which can lead to tissue death and severe pain. In this case, the 75-year-old woman is presenting with worsening pain over a short period of time, indicating an acute event. Given the high risk of complications and mortality associated with mesenteric ischemia, it is crucial to promptly assess and manage the situation.
The first step is to stabilize the patient by providing pain relief and initiating intravenous fluids. Prompt consultation with a surgeon and interventional radiologist is necessary to explore treatment options, such as angiography or surgery, depending on the severity of the ischemia. Revascularization procedures, including angioplasty or bypass surgery, may be performed to restore blood flow to the affected intestine.
Close monitoring of the patient's vital signs, laboratory tests, and imaging studies is essential to assess the response to treatment and adjust management accordingly. Treatment of any underlying conditions, such as atherosclerosis or blood clotting disorders, should also be considered to prevent future episodes of mesenteric ischemia.