adult health Flashcards
Vascular Disorders
PAD
PERIPHERAL ARTERY DISEASE
is caused by arterial narrowing, causing intermittent claudication and pale ulcers
on the toes and heels.
Intermittent
claudication
Cool extremities
Shiny, hairless skin
CVI
Chronic Venous
Insufficiency
results from impaired venous return, causing edema and pink ulcers on the
ankles and lower legs.
Edema
Aching legs
Brown skin
discoloration Dry, flaky skin
6 Ps
Pain Pain unrelieved by analgesics
Paresthesias Numbness and tingling
Poikilothermia Decreased temperature
Pulselessness Weakened or absent pulses
Pallor Paleness or cyanosis
Paralysis Loss of motor function
PAD treatment:
Avoid crossing or elevating legs, encourage exercise and smoking cessation, and monitor for signs of tissue ischemia (6 Ps).
CVI treatment:
Elevate legs, apply compression
stockings, and avoid prolonged sitting or standing.
Aortic aneurysm:
Manage hypertension to
prevent life-threatening rupture. Monitor for signs
of rupture, including hypotension and sudden,
severe back or abdominal pain.
Raynaud phenomenon
Raynaud phenomenon care includes avoiding cold exposure
and taking calcium channel blockers, Color changes to fingers or toes (pallor, cyanosis, or redness) Often accompanied by numbness, tingling, or pain
Buerger disease:
while Buerger disease care focuses on smoking cessation.
Buerger disease: Assessment findings
Claudication in hands or feet
Temperature or color changes in affected extremities
Ischemic ulcers and gangrene
Interventions
Avoid exposure to extreme heat or cold.
Take precautions to avoid trauma to
affected extremities.
Administer vasodilators (iloprost, nifedipine).