CV II a

Question 1

Risk factors for Peripheral Vascular Disease: Arterial disorders?

Answer 1

Age, smoking, HTN, Obesity, Diabetes, Stress,

Question 2

Hallmark sign of PAD?

Answer 2

Intermittent Claudication

Question 3

Where is the pain/discomfort for inflow and outflow diseases?

Answer 3

Inflow: lower pack, buttocks, thigh; Outflow: calves, ankles, feet, toes

Question 4

A arterial ulcer on the foot is a sign of what grade of PAD?

Answer 4

Stage 4

Question 5

Intermittent Claudication is a sign of what grade of PAD?

Answer 5

Stage 2

Question 6

What are the 6 P’s of Acute Occlusive Disease?

Answer 6

Pain, Pallor, Pulselessness, Parathesia, Poikilothermia, Paralysis

Question 7

What is the number to be aware of with a Ankle-Brachial Index?

Answer 7

< 0.9 is diagnostic of PVD

Question 8

Lifestyle changes for PAD?

Answer 8

Stop smoking, exercise, healthy diet, avoid certain cold medications, Good Foot Care

Question 9

Name 2 medications used for PAD?

Answer 9

Pletal and Trental

Question 10

When will graft occlusion typically occur after bypass?

Answer 10

Within the first 24 hr.

Question 11

What to do if graft occlusion is suspected?

Answer 11

Notify MD STAT

Question 12

What causes Buergers Disease?

Answer 12

An overreaction of peripheral arteries to nicotine

Question 13

Treatment of Buergers Disease?

Answer 13

STOP SMOKING

Question 14

What is the main difference of Raynaud’s and Raynaud’s Phenomenon?

Answer 14

Raynaud’s occurs bilaterally and Ray. Phen. occurs unilaterally

Question 15

Treatments for Raynaud’s?

Answer 15

Avoid cold exposure, no nicotine, limit caffeine

Question 16

What are the 3 factors of Verchow’s Triad and what is it associated with?

Answer 16

Venous Stasis, Hypercoaguability, Vascular Damage: DVT

Question 17

Biggest complication of DVT?

Answer 17

Developing a PE

Question 18

S&S of a Pulmonary Embolism?

Answer 18

Dyspnea, SOB, chest pain, anxiety, cough, tachycardia, tachypnea, crackles

Question 19

What do you NEVER do with a suspected DVT?

Answer 19

DO NOT MASSAGE LEGS

Question 20

Biggest pt teaching for pt on anticoagulation meds?

Answer 20

Risk for bleeding

Question 21

Describe the differences in pain, pulses, edema, and skin changes for Arterial vs. Venous.

Answer 21

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

Question 22

Name the 2 types of Aortic Aneurysms?

Answer 22

True and False

Question 23

Name the 2 types of True Aortic Aneurysms?

Answer 23

Fusiform and Saccular

Question 24

Where is pain felt for a AAA and TAA

Answer 24

AAA- back, side, and abdomen. TAA- jaw, neck, and upper back

Question 25

What is the best thing to do to reduce the risk of rupture of a AAA?

Answer 25

Maintain BP at a normal level

Question 26

At what size will an Aneurysm need to be surgically treated?

Answer 26

6cm or larger