Acute Peripheral Vascular Insufficiency

Question 1

What are the 6 P’s of Peripheral Arterial Disease?

Answer 1

Pain (activty, rest)

Pallor

Pulse absent or diminished

Paresthesia

Paralysis

Poiklothermia (loss of hair on toes/lower legs; glossy thin cool skin (chronic sign of PAD)

Question 2

What is a normal Ankle-Brachial Index? (ABI)

Answer 2

Normal is > 0.90

Question 3

What are some medications used in Acute PAD?

Answer 3

Thrombolytics (tPA)
Anticoagulants (heparin)
Antiplatelet agents (ASA, clopedogrel)
Vasodilators

Question 4

What are some S/S of ACUTE SYMPTOMATIC carotid artery disease?

Answer 4

TIA

Monocular visual disturbances

Asphasia

Stroke

Question 5

What are some diagnostic tests used to determine carotid artery disease?

Answer 5

Angiography (gold standard), although there is a risk of stroke during exam

Carotid Duplex Ultrasound

CTA

MRA

Question 6

How do you treat Acute Symptomatic Carotid Artery Disease?

Answer 6

Carotid Endarterectomy (CEA)

Carotid stenting

ASA

Statin therapy