CV II a Flashcards
Risk factors for Peripheral Vascular Disease: Arterial disorders?
Age, smoking, HTN, Obesity, Diabetes, Stress,
Hallmark sign of PAD?
Intermittent Claudication
Where is the pain/discomfort for inflow and outflow diseases?
Inflow: lower pack, buttocks, thigh; Outflow: calves, ankles, feet, toes
A arterial ulcer on the foot is a sign of what grade of PAD?
Stage 4
Intermittent Claudication is a sign of what grade of PAD?
Stage 2
What are the 6 P’s of Acute Occlusive Disease?
Pain, Pallor, Pulselessness, Parathesia, Poikilothermia, Paralysis
What is the number to be aware of with a Ankle-Brachial Index?
< 0.9 is diagnostic of PVD
Lifestyle changes for PAD?
Stop smoking, exercise, healthy diet, avoid certain cold medications, Good Foot Care
Name 2 medications used for PAD?
Pletal and Trental
When will graft occlusion typically occur after bypass?
Within the first 24 hr.
What to do if graft occlusion is suspected?
Notify MD STAT
What causes Buergers Disease?
An overreaction of peripheral arteries to nicotine
Treatment of Buergers Disease?
STOP SMOKING
What is the main difference of Raynaud’s and Raynaud’s Phenomenon?
Raynaud’s occurs bilaterally and Ray. Phen. occurs unilaterally
Treatments for Raynaud’s?
Avoid cold exposure, no nicotine, limit caffeine
What are the 3 factors of Verchow’s Triad and what is it associated with?
Venous Stasis, Hypercoaguability, Vascular Damage: DVT
Biggest complication of DVT?
Developing a PE
S&S of a Pulmonary Embolism?
Dyspnea, SOB, chest pain, anxiety, cough, tachycardia, tachypnea, crackles
What do you NEVER do with a suspected DVT?
DO NOT MASSAGE LEGS
Biggest pt teaching for pt on anticoagulation meds?
Risk for bleeding
Describe the differences in pain, pulses, edema, and skin changes for Arterial vs. Venous.
Arterial- Pain-aching to sharp brought on by exercise relived by rest. Pulse- diminished or absent. Edema-None. Skin changes- cold, dry shiny, hairless,pallor when elevated and red when dangling. Venous- Pain- Aching to cramp like, relieved by activity or elevation. Pulse- Usually present. Edema- Present, increase at the end of the day. Skin changes- warm,thick, tough, darkened, stasis ulcers
Name the 2 types of Aortic Aneurysms?
True and False
Name the 2 types of True Aortic Aneurysms?
Fusiform and Saccular
Where is pain felt for a AAA and TAA
AAA- back, side, and abdomen. TAA- jaw, neck, and upper back
