Ch 21 - Peripheral Vascular System - assesment

Question 1

what is the profile sign? what do you use it for?

Answer 1

viewing the finger from the side
- used to check for clubbing

Question 2

what is capillary refill an index of ?

Answer 2

cardiac output and peripheral perfusion

Question 3

what conditions could affect capillary refill?

Answer 3

cool room, decreased body temp, cigarette smoking, peripheral edema, anemia

Question 4

what does flattening of angle and clubbing occur with?

Answer 4

congenital cyanotic heart disease and cor pulmonale

Question 5

what does a weak, thready pulse occur with?

Answer 5

occurs with shock and PAD

Question 6

what does pallor in the legs indicate?

Answer 6

vasoconstriction

Question 7

what does erythema in the legs indicate?

Answer 7

vasodilation

Question 8

what is a sign of DVT?

Answer 8

asymmetric calf swelling

Question 9

what does bilateral edema occur with?

Answer 9

systemic illness

Question 10

what could leg asymmetry occur with?

Answer 10

lymphedema

Question 11

what does brown discoloration in the legs occur with?

Answer 11

venous stasis

Question 12

what could indicate arterial ischemia in the legs?

Answer 12

• a unilateral cool foot or leg or sudden temperature drop as you move down the leg

Question 13

what can calf pain indicate?

Answer 13

phlebitis, tendinitis, gastrocnemius injury, lumbrosacral disorders

Question 14

what does a bruit occur with?

Answer 14

turbulent blood flow

Question 15

what peripheral arteries do you palpate in both legs?

Answer 15

popliteal, femoral, dorsalis pedis and posterior tibial

Question 16

what does bilateral, dependent pitting edema indicate?

Answer 16

heart failure, diabetic neuropathy, hepatic cirrhosis

Question 17

what does unilateral edema occur with?

Answer 17

occlusion of a deep vein

Question 18

with lymphatic obstruction, what is the edema like?

Answer 18

nonpitting, feels hard to touch

Question 19

why is it important to check the neck vessels when edema is present in the lower extremities?

Answer 19

• if neck vessels are distended the edema can be related to heart or pulmonary disease
• if the neck vessels are normal then there is something else causing the edema

Question 20

what does elevational pallor indicate?

Answer 20

arterial insufficiency

Question 21

what are some signs of arterial insufficiency?

Answer 21

• rubor,
• delayed venous filling
• motor loss
• sensory loss

Question 22

what is subjective date to cover during a peripheral assesment?

Answer 22

leg pain or cramps, skin changes, lymph node enlargement, swelling , meds, smoking hist

Question 23

what trophic changes associated with arterial insufficiency may be seen in the aging adult?

Answer 23

• thin, shiny skin
• thick ridged nails
• loss of hair on lower legs

Question 24

what are signs of rayunud phenomen?

Answer 24

color changes, numbness