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Flashcards in PAD/AOD Deck (18):
1

CAD Risk Factors

-Smoking
-Dyslipidemia
-HTN
-Hyperhomocysteinemia

2

Atherosclerosis Risk Factors

-70 yo
-claudication/ischemic rest pain
-abnormal LE pulses
-Smoker/used to smoke
-Diabetes
-HTN
-high cholesterol
-Hx vascular disease, MI, stroke
-African American

3

S/Sx

-intermittent claudication
-leg/foot pain disrupting sleep
-sore/wound on feet
-paleness/blueness
-decreased temp
-poor nail growth
-decreased hair growth on LE
-may be asymptomatic

4

PAD

obstruction of large to medium sized arteries by atheromatous plaques

-mostly LE
-unilateral

5

ABI

-compare LE & UE SBP with hand held doppler

-ABI=SBP leg/SBP arm

Leg: use dorsalis pedis/post tib

6

ABI Classification

>1.3: non compressible (diabetes, ESRD)

***1.0-1.29: normal***

0.91-0.99: borderline

0.41-0.9: mild-mod PAD (diagnose at 0.9)

0-0.4: Severe PAD

7

Ex's Rx:
F:
I:
T:
T:

F: 1-2x/day; 7 days/week
I: 3+/4 PVD for as long as possible
T: walking, bike (large Mm groups)
T: Intervals, progress to 30-60 min continuous

8

PVD Scale

0: no claudication pn
1: definite discomfort/pain
2: moderate pain; can distract from pain
3: intense pain; can't distract (but keep exercising)
4: excruciating/unbearable (stop test/ex's)

9

PAD Ex's Test Choice

6MWT with PVD Scale

10

Chronic Venous Symptoms

-calf, lower leg
-tired, achy, fullness
-chronic pain increasing through day
-increased with prolonged sitting/standing
-decr with feet up, lying down, walking
-edema, varicose Vv

11

Population at risk for Chronic venous problems

-pregnant
-obese
-prolonged sitting/standing at job
-prolonged bed rest
-CHF
-thrombophlebitis
-varicose Vv
-insult to Vv

12

Acute Arterial Sx

-distal to occlusion
-throbbing
-sudden onset (w/n 1 hour)
-6 Ps: pain, pulselessness, pallor, paresthesia, paralysis, poikilothermia

13

6 P's of Acute Arterial Disorders

-pain
-pulselessness
-paresthesia
-poikilothermia
-pallor
-paralysis

14

Populations at risk for acute arterial disorders

-post vascular surgery
-trauma
-chronic A fib
-clot patients

15

Benefits of ex's with PAD

-incr collateral circulation
-incr muscular efficiency
-incr pt tolerance of anaerobic ex's
-incr pn threshold
-decr blood viscosity

16

Chronic Arterial Sx

-calf/lower leg/dorsal foot pn
-cramps/intermittent claudication
-reproducible, gradual, chronic
-increased with walking/stairs/activity/feet up
-decr by feet down, rest (w/n 2 min)
-hairless, shiny, cool skin

17

Populations at risk for Chronic Arterial Problems

-HTN
-smoker
-diabetic
-obese
-high cholesterol
-elderly
-male>female

18

Acute venous Sx

-calf
-sharp, intense, deep muscle, tender pain
-sudden onset (w/n 1 hour)
-increased with ankle DF
-red, warm swollen

(DVT)