exam 4 - PVD Flashcards
Pain in extremities with exercise; relieved by rest
peripheral arterial disease- intermittent claudication
Persistent pain @ rest indicates severe ischemia
intermittent claudication
skin and temperature changes
PAD
reddish discoloration in
dependent position
rubor
gangrenous changes happens in
PAD
White or blanched appearance when elevated
PAD
- loss of hair
- brittle nails
- dry shiny, scaly skin
- ulcerations
- bruits
PAD
what do we need to check for peripheral with patients with PAD
pulse
what might we use to check a pulse
doppler
this looks at the blood flow to extremities
venous doppler
for peripheral vascular disease what do we need to assess?
- color
- temp
- used doppler on effected limb every 8 hours and then every 4 hours for remainder of 24 hours
what do we need to teach to patients that have PVD?
do not cross legs and elevate legs when sitting
What is the primary nursing intervention when caring for a patient after peripheral artery bypass surgery?
Encourage bed rest for the first three days post surgery
Encourage dangling of legs to promote circulation to the new peripheral vessel grafts
Assess and document pulses every hour for the first 8 hours after surgery
Encourage fluids to flush out radiopaque dye
C
Signs and symptoms of peripheral arterial disease (PAD) include which of the following? Select all that apply.
Rubor in dependent extremities
Strong, regular pulses
Intermittent claudication
Dry, tight, shiny skin on extremities
Non-healing, painful ulcers
A,C,D,E
When assessing a client with peripheral arterial disease, the nurse anticipates signs and symptoms of ischemia, including
Warm, pink extremities
Intermittent claudication
Increased pulse pressure
Increased hair production on affected extremities
b
