PVD Flashcards

1
Q

120-139
______
80-89

A

Pre HTN

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2
Q

140-159
______
90-99

A

Stage I

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3
Q

160 +
____
100 +

A

Stage II

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4
Q

180
____
120

A

Malignant HTN - HTN Crisis

Treat with in 1 hr

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5
Q

Morning HA
Fatigue
Blurred Vision
Unsteadiness
Depression
Nocturia
HA
Occasional Dizziness

A

HTN

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6
Q

Blurred Vision
Confusion
Optic Nerve Swelling
Restlessness
Motor Sensory Deficits

A

HTN Crisis - Malignant HTN

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7
Q

Meds for HTN

A

Diuretics- Reduce Volume
Beta Blockers “lol” - Reduce CO
Vasodilators - Reduce peripheral Resistance
ACE “prils”- Prevent vasoconstriction
CCB’s- Vasodialation
ARB’s “sartan” - vasodialtion

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8
Q

Abnormal dilation of blood vessels in area of vessel weakness or vessel wall tear

A

Aneurysm

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9
Q

Susternal, Neck and back pain
difficulty breathing
stridor
cough
difficulty swallowing
hoarseness
edema of face and neck
distended neck veins
Eboli

A

Thoracic Aortic Aneurysms

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10
Q

Associated with arteriosclerosis, HTN, smoking and increase in age
adults +70
asymptomatic
pulsating mass and bruit over mass
mild to severe mid abdominal or lower back pain
emboli may form

measure abdominal girth q 4hr

A

Abdominal Aortic Aneurysms

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11
Q

Due to Arteriosclerosis
men affected more

Pulsating mass in groin (Fremoral)
behind knee (popliteal)
cramping and pain in leg muscle at rest
Numbness

A

Femoral and Popliteal aneurysm

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12
Q

LIFE THREATENING EMERGENCY
caused by tear in inner layer of Aorta
Common in Ascending aorta
HTN is risk factor
High risk in Clients with Marfan syndrome

SUDDEN excruciating pain (ripping/tearing)
absent peripheral pulses

A

Aortic Dissection

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13
Q

inherent disorder that effects CT , caused by proteins in CT

A

Marfan syndrome

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14
Q

disproportionately long legs, arms, toes and fingers
Tall slender build
long narrow face
High arched neck
Crowded teeth
indented or protruding sternum
dislocated lens of the eyes - impaired vision
High pressure in eyes
Cystic changes in lungs
Flexible joints
flat feet
curved spine
abnormal heart sounds (mitral valve prolapse)
weakness of aorta with frequent aortic dissection and rupture

A

S/s of Marfan syndrome

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15
Q

NO severe and emotional stress
pregnancy increases risk of aortic dissection and cardiac complications
avoid excessive physical stress and pregnancy
Scoliosis and Kyphosis are common
regular eye exams
each child has 50% chance of having

A

Teaching for Marfan syndrome

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16
Q

Beta blockers
ACE
ARB’s

A

Medications for Marfan syndrome

17
Q

Occlusive (CLOT) disease of small and medium sized peripheral arteries
vessels become inflamed, Spastic and thrombotic
affect legs, foot and upper extremities

Cigarette smoking is Cause

Smoking and cold
Emotional stress triggers BURNING pain

Digits pale and cool or cold to touch

A

Thromboangiitis obliterans (Buerger disease)

18
Q

SPASMS of small arteries and arterioles of extremities
Limit blood flow to fingers, toes, ears and nose
Genetic Predisposition
Affect women 15-45

A

Raynaud Phenomenon

19
Q

spasms intermittent
after exposure to cold or work related vibrations
Cause fingers to turn Blue, then white, then red

Numbness,
stiffness,
decreased sensation
aching pain

A

Manifestations of Raynauds

20
Q

Smoking cessation
regular exercise
keep extremities warm
wear gloves when outside in cold or when handling cold foods

A

Treatment for Raynauds

21
Q

Blood clot forms in wall of vein and blocks blood flow to heart
DVT in calf = + Homans sign (pain in calf with dorsiflex) if positive dont stand call doc

If clot breaks apart = embolus to Pulmonary Circulation = Fatal

Virchow’s Triad
Venous Stasis (Sluggish blood flow)
Increased blood coagulability
vessel wall injury - trigger body to clot, WBC and Fibrin

Superficial venous Thrombosis : leads to varicose veins

A

Venous Thrombosis

22
Q

Irregular, tortuous veins with poorly functioning valves , can develop anywhere

Increase pressure, stretches vessel wall
Standing increases pressure and decreases venous return

A

Varicose Veins

23
Q

Stasis dermatitis
stasis ulcers
leg pain
leg fatigue or heaviness
itching
heat in affected leg after prolonged standing
visibly dilated veins in the leg

A

Manifestations of varicose veins

24
Q
  1. Reticular veins or spider veins
  2. Varicose veins or venous nodules
  3. Edema of the lower legs
  4. Varicose eczema or trophic ulcer
A

Stages of varicose veins