Certified Wound Ostomy Nurse (CWON) Practice Test

What medication is usually included in the management of LEAD?

1. Insulin

2. Aspirin

3. Antibiotics

4. Diuretics

The correct answer is: Aspirin

In the context of managing Lower Extremity Arterial Disease (LEAD), aspirin plays a pivotal role due to its antiplatelet properties. LEAD is primarily characterized by reduced blood flow to the lower extremities due to narrowed or blocked arteries, often resulting from atherosclerosis. The use of aspirin helps to prevent clot formation, which can exacerbate the condition by further reducing blood flow and leading to complications such as critical limb ischemia. By reducing the viscosity of blood and enhancing circulation, aspirin can mitigate the risks associated with LEAD, particularly in patients who are at high risk for cardiovascular events. This is paramount, as patients with LEAD often have concurrent cardiovascular diseases. In contrast, while insulin is crucial for managing diabetes, which can contribute to vascular issues, it does not directly address the vascular complications of LEAD. Antibiotics may be indicated for infections or wounds but are not a standard treatment for LEAD itself. Diuretics are helpful in managing fluid retention and heart failure but are not specifically targeted toward improving blood flow or vascular health in the context of LEAD. Thus, the inclusion of aspirin in the management plan is a cornerstone therapy for patients with this condition.