Peripheral Vascular Disease (PVD) Flashcards

1
Q

What does PVD mostly impact?

A

Arteries

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2
Q

Aside from arteries, what else can it impact?

A

Veins and lymph vessels

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3
Q

Thrombus?

A

stationary clot in vessel

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4
Q

Embolus?

A

Clot that moves from where it formed and lodges to another site

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5
Q

What are the 2 forms of PVD?

A
  1. Acute Arterial Occlusion

2. Atherosclerotic Occlusive Disease

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6
Q

Acute arterial occlusion?

A

It has an acute onset that disrupts perfusion

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7
Q

What is acute arterial occlusion usually due to?

A

Thrombus or embolus

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8
Q

What are the manifestations of Acute arterial occlusion?

A

The 7 P’s

  1. Pistol
  2. Pain
  3. Pallor
  4. Polar
  5. Parasthesia
  6. Pulselessness
  7. Paralysis
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9
Q

Briefly explain the manifestation for PVD:

- Pistol?

A

quickly, without warning

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10
Q

Briefly explain the manifestation for PVD:

- Pain?

A

ischemic pain

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11
Q

Briefly explain the manifestation for PVD:

- Pallor?

A

Area not adequately perfused [white/pale distal to obstruction]

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12
Q

Briefly explain the manifestation for PVD:

- Polar?

A

Cold because less blood to area and blood carries heat

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13
Q

Briefly explain the manifestation for PVD:

- Pulselessness?

A

No pulse

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14
Q

Briefly explain the manifestation for PVD:

- Paralysis?

A

Loss of function from decreased perfusion [no energy]

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15
Q

Briefly explain the manifestation for PVD:

- Parasthesia?

A

Abnormal sensations such as tingling, pins & needles

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16
Q

What are the diagnostics for acute arterial occlusion PVD?

A
  • Physical exam

- Blood flow assessment via doppler or you can do a angiogram

17
Q

Why do you do a blood flow assessment in acute arterial occlusion PVD?

A

Because you need to confirm blood flow

18
Q

What are the treatment options for acute arterial occlusion PVD?

A
  • thrombolytic
  • anticoagulant
  • surgery
19
Q

Thrombolytic?

A

drug that breaks down thrombus or clot

20
Q

Anticoagulant?

A

Prevents further coagulation

21
Q

When is surgery used as an intervention to treat acute arterial occlusion PVD?

A

It is used as an intervention when thrombolytics and anticoagulants do not work.