Chapter 21 Pulmonary Vascular

Question 1

Subjective date of PV assessment (6)

Answer 1

-Leg pain/cramps
-Skin changes on arms or legs
-Swelling in arms or legs
-Lymph node enlargement
-Medications
-Smoking Hx

Question 2

Questions regarding leg pain/cramps (4)

Answer 2

-Type of pain
-Activity dependent
-How much activity
-Has activity to reproduce symptoms changed

Question 3

Questions regarding skin changes on arms and legs (4)

Answer 3

-Color of skin
-Change in temperature
-Bulging veins
-Sores or ulcers

Question 4

Swelling of arms or legs questions (5)

Answer 4

-When does it happen
-Does it come and go
-What makes it occur
-What makes it better
-Any pain

Question 5

Reason for increased capillary refill (3)

Answer 5

-Vasoconstriction
-Decreased CO
-Cold/clammy/pale hands

Question 6

3+ Pulse rating

Answer 6

Increased, full bounding

Question 7

2+ Pulse rating

Answer 7

Normal

Question 8

1+ Pulse rating

Answer 8

Weak

Question 9

0 Pulse rating

Answer 9

Absent

Question 10

Pallor color means what?

Answer 10

Arterial insufficiency

Question 11

1+ edema (3)

Answer 11

-Mild pitting
-Slight indentation
-No perceptible swelling

Question 12

2+ edema (3)

Answer 12

-Moderate pitting
-Indentation
-Subsides rapidly

Question 13

3+ edema (3)

Answer 13

-Deep pitting
-Indentation remains for a short time
-Legs look swollen

Question 14

4+ edema (3)

Answer 14

-Very deep pitting
-Indentation lasts a long time
-Very swollen

Question 15

Loss of strength in the lower legs means what?

Answer 15

Severe arterial deficit

Question 16

What four pulses do you look at

Answer 16

-Radial
-Brachial
-Dosalis pedis
-Posterior tibial

Question 17

What type of edema do you look for last in the PV assessment

Answer 17

Pre-tibial edema

Question 18

Weak Thready Pulse 1+ (3)

Answer 18

-Decreased CO
-PAD
-AS

Question 19

Full, bounding pulse 3+ (4)

Answer 19

-Anxiety
-Fever
-Anemia
-Hyperthyroidism

Question 20

Water-Hammer Pulse 3+

Answer 20

Aortic valve regurgitation

Question 21

Pulsus bigeminus

Answer 21

Conduction disturbance

Question 22

Pulsus alternans (4)

Answer 22

-Ischemic heart disease
-LV failure
-HTN
-Cardiomyopathy

Question 23

Pulsus Paraoxus

Answer 23

Cardiac tamponade

Question 24

Pulsus bisferiens

Answer 24

AS

Question 25

Raynauds Phenomenon (3)

Answer 25

-Blue extremities
-In response to cold vibration or stress
-Pain and cold hands

Question 26

Lymphedema

Answer 26

Accumulation of fluid in interstitial spaces

Question 27

Chronic lymphedema leads to…(3)

Answer 27

-Pain
-disfigurement
-mobility dysfunction

Question 28

Venous (Stasis) Ulcer occurs after what

Answer 28

DVT

Question 29

Subjective findings for chronic venous disease

Answer 29

-Aching
-heaviness in calf
-easy fatigue
-restless legs
-burning

Question 30

Objective findings for chronic venous disease

Answer 30

-Dilated veins

Question 31

Subjective findings for DVT

Answer 31

Sudden onset of intense, sharp, deep muscle pain

Question 32

Objective findings for DVT (3)

Answer 32

Increased warmth
-Redness
-Cyanosis