Cardiovascular and Pulmonary: Interventions: Peripheral Vascular Disease: Rehabilitation Guidelines for Arterial Disease

Question 1

Walking Program Guidelines

Answer 1

Either
- Walk at level of 2 or 3 on the claudication scale
or
- An interval program with stop until pain subsides for a total of 30-60 minutes, 3-5 days per week

Question 2

Beta Blockers

Answer 2

• May decrease time to claudication

- May worsen symptoms

Question 3

Pentoxifylline
Dipyridamole
Aspirn
Warfarin

Answer 3

• May improve time to claudication

Question 4

Lower Extremity Exercise

Answer 4

• Modified Buerger-Allen exercises: Postural exercises plus active plantar and dorsiflexion of the ankle

Question 5

Lower Extremity Exercise: Resistive Calf exercises:

Answer 5

• Most effective method of increasing blood flow

Question 6

Medical Treatment

Answer 6

• Medications to decrease blood viscosity
• Vasodilators
• Calcium channel blockers with vasospastic disease

Question 7

Surgical Management

Answer 7

• Atherectomy

Question 8

Surgical Management: Revascularization

Answer 8

• Angioplasty

- Bypass grafting

Question 9

Surgical Management: Sympathectomy

Answer 9

• Results in permanent vasodilation

- Improved blood flow to skin