Chapter 21: Peripheral Vascular System and Lymphatic System Flashcards

1
Q

femoral artery location

A
  • passes under the inguinal ligament
  • travels down the thigh
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2
Q

ischemia

A

deficant supply of oxygenated arterial blood to a tissue, caused by obstruction of a blood vessel

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3
Q

peripheral artery disease (PAD)

A
  • affects noncoronary arteries
  • usually caused by artheroscleosis
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4
Q

examples of deep veins

A
  • femoral
  • popiteal veins
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5
Q

exmples of superficial veins

A
  • the great and small saphenous
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6
Q

perforators

A

connecting veins that join the two sets

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7
Q

because of veins ability to stretch veins are called

A

capacitance vessels

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8
Q

varicous veins have _____ valves

A

incompetent

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9
Q

right lymphatic duct empties into the

A

subclavian vein

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10
Q

right lymphatic duct drains

A

right side of the head and necks, right side of the thorax, right lung and piura, right side of the heart, right upper section of the liver

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11
Q

thoracic duct drains

A

rest of the body

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12
Q

thoracic duct empties into the

A

left subclavian vein

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13
Q

cervical nodes drain

A

head and neck

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14
Q

axillary nodes drain

A

breast and upper arm

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15
Q

epitrochlear node is located

A

in the antecubital fossa

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16
Q

epitrochlear node drains

A

the land and lower arm

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17
Q

the inguinal nodes drain

A

most of the lymph of the lower extremity, the external genetialia, and the anterior abdominal wall

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18
Q

spleen location

A

left upper quadrant

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19
Q

what are the 4 functions of the spleen

A
  • destroy old red blood cells
  • produce antibodies
  • store red blood cells
  • filter microorgansims
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20
Q

thymus gland

A
  • flat, pink-grey and is located in the superior mediastinum
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21
Q

T and B lymphocytes originate in

A

the bone marrow

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22
Q

T and B lymphocytes mature in the

A

lymphoid tissue

23
Q

arteriosclerosis

A

hardening of the arteries

24
Q

cluadation distance

A

the number of blocks walked or stairs climbed that produces pain

25
Q

vericose veins

A

swollen, twisted, and sometimes painful veins that have filed with an abnormal collection of blood

26
Q

aortoiliac occlusion is associated with

A

impotence (leriches syndrome)

27
Q

coolness is associated with

A

arterial disease

28
Q

lymph nodes are enlarged due to

A

infection, malignancies, and immunological diseases

29
Q

how to detect early clubbing

A

profile sign

30
Q

what is normal capillary refil

A

1-2 seconds

31
Q

3+ pulse

A

increased, full bounding

32
Q

2+ pulse

A

normal

33
Q

1+ pulse

A

weak

34
Q

0 pulse

A

absent

35
Q

how to asses posterior tibial pulse

A

curve fingers around the medial malleous

36
Q

dorsalis pedis pulse requires

A

very light touch

37
Q

what is the modified allen test used for

A

evaluate the adequacy of collateral circulation before radial artery is cannulated

38
Q

Wells score is used to asses risk for

A

DVT

39
Q

arteries

A
  • transport oxygenated blood yo organs and periphery
  • high pressure system
  • muscle lining
40
Q

veins

A
  • transport deoxygenated blood from organs and periphery to heart
  • low pressure system
  • valves
41
Q

lymph

A
  • distinct vessel system
  • -recieve excess fluid from tissue spaces and returns it to the bloodstream
42
Q

functions of the lymphatic system

A
  • forms a major part of the immune system
  • conserves fluid and plasma proteins that leak out of capillaries
  • absorbs lipids from the interstitial tract
43
Q

expected finding of the epitrochlear lymph nodes

A
  • non palpuable
44
Q

venous ulcers

A

medial malleolus

45
Q

arterial ulcers

A

tips

46
Q

expected findings fro veins

A

veins flat, not prominant

47
Q

inguinal unexpected findings

A
  • large, tender, fixed
48
Q

how long should it take for color to return to the feet

A

15 seconds

49
Q

dependent rubor

A

deep blue-red color
- severe atrial insufficiency (chronic hypoxia

50
Q

purpose of the doppler

A
  • detect a weak peripheral pulse
  • measure a low blood pressure in the lower extremity
51
Q

foot problems is often the first sing of

A
  • arthritis
  • diabetes
  • nerve
  • circulatory disorders
52
Q

foot care

A
  • keep blood flowing to feet (activity/stretching/wiggling/elevation/massage; do not cross feet; so not smoke)
  • wear comfortable fitting shoes
  • fit shoes to larger foot
  • low heeled shoes for women
  • keep skin soft and smooth
53
Q
A