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Ellie-NUR 265 > Peripheral Vascular and Lymphatic Assessment > Flashcards

Peripheral Vascular and Lymphatic Assessment Flashcards

1
Q

what is the lymphatic system’s primary function?

A

transport lymph
get rid of waste
returns fluid into the circulatory system

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2
Q

how many directions is lymph flow

A

1 direction

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3
Q

how is it possible for bp to decrease when you’re pregnant if blood volume increases?

A

vasodilation from hormones

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4
Q

Why do pregnant women get lower extremity edema and varicosities in legs?

A

blood volume in increased

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5
Q

what are some vascular issues that happen in older adults

A

Arteries calcify- arteriosclerosis, stenosis
Arterial walls lose elasticity and vasomotor tone
Varicose veins
Increased peripheral vascular resistance
Decreased venous return

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6
Q

why would arteries calcify

A

increase in systolic bp

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7
Q

what is arteriosclerosis

A

blood vessels become rigid (stiff)

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8
Q

what is atherosclerosis

A

plaque build up in bv’s

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9
Q

what is claudication

A

leg cramping pain

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10
Q

patient c/o of leg pain or cramps what do you ask

A

where
when
how long it lasts
what makes it worse
what relieves it
type of pain (burning, stabbing)
does it radiate
any skin color changes
does it wake you up at night
what meds are you taking

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11
Q

what is some pertinent info to ask during the assessment

A

PMH (diabetes, hypertension)
family history (heart history, hypertension, coronary artery disease, diabetes)
personal social history (smoking, drugs, alc)

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12
Q

what are the risk factors

A

Age
Family Hx.
PMH
Obese
Inactive
Smoking

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13
Q

why is age a risk factor

A

mobility and loss of elasticity

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14
Q

what would be inspected during pv assessment

A

skin color
edema
superficial veins
bruising
lesions not healing

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15
Q

what would you palpate during pv assessment

A

edema
temp of skin
thickness of skin
pulses

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16
Q

what do you palpate arteries for

A

strength
equal bilateral

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17
Q

what variables contribute to what you feel in a pulse

A

blood viscosity
blood volume

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18
Q

what is a 0/3 pulse

A

absent

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19
Q

what is a +1/3 pulse

A

weak

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20
Q

what is a +2/3 pulse

A

normal

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21
Q

what is a +3/3 pulse

A

bounding

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22
Q

what are the 3 p’s of occlusion

A

pain
pallor
pulselessness

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23
Q

what would you do if there is occlusion

A

raise legs
decrease fluid intake
decrease salt intake

24
Q

if edema is unilateral, what system is it typically

A

lymphatic

25
Q

if edema is bilateral what system is it typically

A

peripheral vascular

26
Q

if skin temp is decreased is it venous or arterial

A

arterial

27
Q

if edema is increases is it venous or arterial

A

venous

28
Q

if skin is dry and flaky with brownish discoloration is it venous or arterial

A

venous

29
Q

if skin temp is normal is it venous or arterial

A

venous

30
Q

if edema is normal is it venous or arterial

A

arterial

31
Q

is tissue is thin and shiny is it venous or arterial

A

arterial

32
Q

if hair is present is it venous or arterial

A

venous

33
Q

if there is hair loss is it venous or arterial

A

arterial

34
Q

if leg elevation lessens pain is it venous or arterial

A

venous

35
Q

if leg elevation increases pain (dangling decreases pain) is it venous or arterial

A

arterial

36
Q

if wounds occur secondary to inadequate function of the venous system is it venous or arterial

A

venous

37
Q

if wounds occur due to ischemia from lack of oxygenated blood is it venous or arterial

A

arterial

38
Q

if wounds are initially superficial but irregular in shape is it venous or arterial

A

venous

39
Q

if wounds lack granulation tissue and have smooth edges that are well defined is it venous or arterial

A

arterial

40
Q

if wounds are proximal to the medial malleolus is it venous or arterial

A

venous

41
Q

if there are ulcers on the lateral malleolus, lower thrid of leg, toes, and web spaces is it venous or arterial

A

arterial

42
Q

if pedal pulses are normal is it venous or arterial

A

venous

43
Q

if pedal pulses are diminished is it venous or arterial

A

arterial

44
Q

if nails are normal is it venous or arterial

A

venous

45
Q

if nails are yellow and thickened is it venous or arterial

A

arterial

46
Q

if pain is mild to moderate is it venous or arterial

A

venous

47
Q

if pain is severe is it venous or arterial

A

arterial

48
Q

if pain increases at the end of day as edema increases is it venous or arterial

A

venous

49
Q

if there is pain with walking but it is relieved at rest is it venous or arterial

A

arterial

50
Q

symptoms of chronic venous insufficiency

A

leg swelling
skin color and texture changes
venous ulcers

51
Q
A

arterial ulcer

52
Q
A

venous ulcer

53
Q

what is Raynaud phenomenon

A
54
Q

what is venous thrombosis

A

blood clot in the veins
Sudden or gradual with varying severity of
symptoms
Can be the result of trauma or prolonged
immobilization

55
Q

what is hypertension

A

One of the most common diseases in the world
Responsible for stroke, renal failure, and
congestive heart failure

56
Q

what is a risk with deep vein thrombosis

A

blood clot

57
Q

what are assessment findings with deep vein thrombosis

A

more red
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Ellie-NUR 265 (10 decks)

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