Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 347 EXAM 3 > Acute & chronic Venous Disorders ; > Flashcards

Acute & chronic Venous Disorders ; Flashcards

1
Q

Acute venous disorders will have symptoms like?

A

Phlebitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is phlebitis
And when does it get better?

A

Inflammation of the vein
1-2 weeks on its down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is phlebitis caused? (3)

A

Excessive stretching as in with varicose veins

A blood clot in vein

Trauma of the vein; Iv line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 2 symptoms of phlebitis?

A

Pain and tenderness
Hardening & feeling cord like

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What’s another sign that’s present in people with PVD?

A

Varicose veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Varicose veins?
It’s the what, don’t confuse it with the etiology

A

Dilated ( greater than or equal to 3mm in diameter ) tortuous superficial veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Primary varicose veins ?
Secondary varicose veins?
Congenital varicose veins?
Reticular varicose veins?
Telangiectaisas??

A

Weakness of vein wall
Direct injury, previous VTE, excessive dilation
Chromosomal defects
Flat, less torturous, blue green
Spider veins, small, black blue purple red

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Varicose Veins
Etiology & Pathophysiology
Explain it

A

Superficial veins in legs become dilated and tortuous from retrograde (backup) blood flow and increase venous pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are some risk factors of varicose veins ? (4)

A

Family history
Female
Tobacco !!
Aging
Obesity
Multiparty
History of VTE
Venous obstruction !!
Phlebitis !!
Leg injury
Prolonged siting/standing !!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the clinical manifestations of varicose veins? (7)
And it’s relieved how?

A

Heavy achy feeling or pain after prolonged standing/sitting
- walking or limb elevation

Pressure
Itchy
Burning
Tingling
Throbbing
Cramp like

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What’s the most common complication of varicose veins??

A

Superficial venous thrombosis !!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are other complications of varicose veins?
The rupture of what (1)
Results in what (2)

A

Rupture of varicositues
Results in bleeding & skin ulcerations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How do we diagnose varicose veins? Using what? (2)

A

Examination
Duplex ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What’s the Interprofessional care for varicose veins? (5)
What type of treatment ??
And think of things were going to be doing and telling our patient

What with the legs??
Putting?? Doing??

A

Conservative treatment !!

Rest with limb elevation
Compression stockings
Leg strengthening
Weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What type of drug therapy are we going to give people with PVD?

A

Venoactive drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some examples of varicose veins drugs (4)

A

Flavonoids
Saponins
Calcium dobesioate
Red vein lead extract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How does venoactive drugs help PVD?
Reduced what?
Improves what?

A

Improve venous tone & contractility
Reduce edema, inflammation, improve micro circulation

18
Q

How does antioxidants help with venoactive drugs for PVD?

A

Plant extracts stimulate release of chemicals to strength the circulation & reduce inflammation & edema

19
Q

Therapeutic benefits for venoactive drugs are not FDA but they can be found over the counter as?

A

Herbal or dietary supplements

20
Q

What are the 6 interventional & surgical therapies for PVD?

A

Sclerotherapy
Transcutaneous laser
Endovenous Albation
Traditional
Ambulatory phlebotomy
Transillumited powered phlebctomy

21
Q

How does sclerotherapy help PVD?

A

( destroy ) Ablates veins by direct injection of sclerosis agent

22
Q

What are the complications related to sclerotherapy? (4)

A

Residual pigmentation
Matting
Thrombophlebitis
Ulcers

23
Q

After sclerotherapy we want our patients to wear what and do what?

A

Wear compression stocking
Limit travel

24
Q

How does Transcutaneous laser help PVD?

A

Laser therapy
Heating the hemoglobins in the vessels , resulting in vessel sclerosis ( thicken aterties )

25
Q

What are the 4 complications with transcutaneous laser therapy?

A

Pain
Blistering
Hyperpigmentation
Superficial erosions

26
Q

What is endovenous ablation?
How does it work?

A

Radiofrequency or laser therapy
Insert catheter into vein & heats it up & causes vein to collapse

27
Q

What are the 7 complications of Endovenous Ablation?

A

Bruising
Burns
Hyper pigmentation
Infection
Paresthesia
Pulmonary embolism
Superficial/deep vein thrombosis

28
Q

We always want our patients after Endovenous ablation to wear??

A

Compression socks!!

29
Q

What’s traditional surgery for varicose veins for PVD?

A

Ligation of vein & branches

30
Q

What’s ambulatory phlebectomy?

A

Stab incision followed by excision of the vein

31
Q

What’s transilluminated powered phlebectomy?

A

Tissue resector to destroy clusters of varicosities

32
Q

What’s the complication of Varicose veins transilluminated powered phlebectomy? (3)

A

Bleeding
Bruising
Infection

33
Q

What are some preventions we as nurses are going to tell our patient who has PVD? (5)
Avoiding what??
Doing what??

A

Avoid prolonged sitting/standing
Avoid injury
Avoid restrictive clothing
Maintain ideal weight
Walk every day

34
Q

What are postoperative PVD things we as nurses will do and say to our patient (4)
What type of assessment ?!?
What about their rr

A

Deep breathing
Neurovascular assessment
Elevated legs
Compression stocks
( remove every 8 hours for short time )

35
Q

What are the long term management goals for PVD? (9)
Wearing what??
What are we going to tell them & do

A

Improve circulation & appearance
Relieve discomfort
Avoid complications & ulcerations
Patient teaching

Compression socks
Elevated legs
Weight management
Position change
Dietary & herbal supplements

36
Q

Chronic Venous insufficiency and Venous leg ulcers
What is the abnormality of venous system ? (3)

A

Edema, skin changes, venous leg ulcers

37
Q

What is the etiology & pathophysiology of chronic venous insufficiency? (2)
Explain

A

Primary varicose veins & post thrombotic syndrome

Ambulatory venous hypertension
- serous fluid & RBC leak results in edema, chronic inflammatory changes

38
Q

What are clinical manifestations & complications of CVI?
(3)
Explain

A

Lower leg
- brown leathery & edematous

Eczema with itching and scratching

Venous ulcers
- pain with dependent position
- risk of infection

39
Q

CVI Interprofessional & nursing care
What are the 2 main ones?
(3) (5)

A

Compression for healing/prevention of recurrence
- stockings
- teach proper fit
- assess for PAD prior to compression

Activity guidelines and limb positioning
- avoid prolonged sitting/standing
- elevate legs above heart
- daily walking
- avoid trauma
- daily foot & leg care

40
Q

What are some other Interprofessional care we are going to do for a patient? (4) examples
Think of the wound??
Nutrition??
Complications in people??
What can happen if we don’t do this???

A

Wound care
- moist

Nutrition
- A,C, PROTEIN, ZINC

Diabetics
- normal blood sugar

Monitor infection
- excision, antibiotics, debridenent

41
Q

What are type of drug therapy for CVI?

A

Pentoxifylline ; microbized flavonoid fraction

42
Q

We want to do skin replacement and daily moisture for PVD or PAD?

A

PVD

NEVER DO PAD MOSITURE = SKIN MALCERATION

NURS 347 EXAM 3 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions