Ch 17 Flashcards
What are the six P’s for arterial occlusion to look for?
Pain, power, pulselessness, poikilothermia, paresthesia, paralysis
What is intermittent claudication
Aching a cramping pain in a muscle that occurs with the same degree of exercise or activity in is relieved with rest
What is skin rubor?
A reddish blue color when the extremities placed in a dependent position after elevation
What kind of clinical manifestations happen due to reduce nutrients supply due to PAD
Hair loss, brittle nails, dry, shiny, or scaling skin, atrophy, and ulcerations
What is CILOSTAZOL
Phosphodiesterase III inhibitor that is a vasodilator and refuses platelet aggregation prescribed in combination with an exercise program to improve walking with a patient with intermittent claudication
For a patient with PAD, what are some pharmacologic drugs the patient should be taken?
-Anti-platelet agents such as aspirin and clopidogrel
-statin medications
-ace inhibitors
What is Reynaud disease?
Can be primary or idiopathic referring to Vaso spasms that occur with cold or stress
What kind of drugs help treat inflammatory PAD
CorticoSteroids
Reynauds disease typically occurs in what population
Usually occurs in females between 16 and 40 living in cold climates
Buerger disease
Recurring inflammation of the intermediate and small arteries and veins due to it being an auto immune disease
What is the relationship between warfarin and heparin?
Heparin is used through IV drip for first line therapy against DVTs. Warfarin is an oral anticoagulant that is used in therapy with heparin. Warfarin takes about 3 to 5 days to kick into affect but when it does, you can discontinue the heparin drip. Heparin is monitored by PTT, and warfarin is monitored by INR due to needing to know the time it takes into affect.
