pvd- EXAM 4

Question 1

What is PVD

Answer 1

Disorders that change the flow of blood through the arteries and veins
Decreases the amount of blood flowing

Question 2

Atherosclerotic

Answer 2

loss of elasticity, calcification of arterial walls

Question 3

Arteriosclerosis

Answer 3

When fat or cholesterol obstructs and hardens the arteries

Question 4

Where does thrombosis occur

Answer 4

In the lower extremities more then upper ones

Question 5

CVI

Answer 5

Trouble getting blood back, inadequate venous return over long period of time
Commonly caused by hypercoagulagte state: 10+ hours of sitting
Congestion

Question 6

Risk factors to PVD’s

Answer 6

Smoking, Hypertension, High Cholesterol, DM, Family history, Overweight, No physical exercise

Question 7

Etiology of PVD

Answer 7

Greater in adults older then 80 years old
Men affected more than women
African Americans have higher rates then Whites or hispanics

Question 8

Prevention of PVD

Answer 8

Maintain a healthy lifestyle
Screen at risk px
Take preventative meds

Question 9

PAD manifestations

Answer 9

Intermittent claudication! Pain due to decreased blood flow= hypoxic tissue
Rest pain
Decreased peripheral pulses
Thin, shiny, hairless skin
Thickened toenails
Skin breakdown
Edema

Question 10

CVI manifestations

Answer 10

Lower extremity edema, pallor
Cyanotic= brownish color from breakdown of RBC!
Recurrent stasis ulcers

Question 11

Management of PAD

Answer 11

Symptom relief
Promote adequate circulation
Lower legs, dangle, DO NOT elevate
Heal/Prevent tissue damage

Question 12

Management of CVI

Answer 12

Reduce edema
Discourage prolonged sitting or standing
Wear compression hosiery!
Elevate legs and feet! want to assist with blood return
Treat stasis dermatitis and ulceration

Question 13

PAD

Answer 13

Trouble getting blood out

Question 14

Nonpharmacologic therapy

Answer 14

Smoking cessation!
Foot care
Rest when claudication starts and resume when pain resolves
Control: DM,HTN,Cholestrol and BMI