PVD

Question 1

Arteriosclerosis

Answer 1

Plaque formation

Question 2

Athersclerosis

Answer 2

Hardening of vessel walls

Question 3

Collateral circulation

Answer 3

Main arteries are occluded so other arteries are made around it to perfuse the tissue

Question 4

Who is more like to have collateral circulation, 35 y.o. or 70 y.o.?

Answer 4

70 year old

Question 5

If someone comes in with “cold” leg, is it venous or arterial?

Answer 5

Arterial

Question 6

Appearance of arterial issue

Answer 6

Ruby red because you are occluding the flow (ex: rubber band around your finger)

Question 7

Appearance of venous issue

Answer 7

Purple/violet, edematous, brownish

Question 8

What is the color when a person has an arterial issue and they elevate their extremities above their heart?

Answer 8

Pale

Question 9

Thin, shiny, hairless skin; thickened toenails

Manifestations of peripheral or venous?

Answer 9

Arterial

Question 10

Ankle/brachial index

Answer 10

Systolic BP in ankle / Systolic brachial BP (A divided by B)

The closer you are to 1, the more perfusion you have.

Question 11

Angiography

Answer 11

Putting an IV in the artery (Right femoral artery most commonly used)

Question 12

Priority nursing intervention after angiogram

Answer 12

Monitor puncture site & assess for s/s of bleeding

May have hematomas, pseudo aneurysm, occult bleeding, bruit

Question 13

S/S of intraperitoneal bleeding

Answer 13

Low BP
High HR
Altered mental status
Dizziness