NUR 118 - Week 10 Support - Cardiac

Question 1

List 4 Factors that Affect Circulation

Answer 1

AGE
STRESS
MEDICATIONS
LIFETYLES
CARDIOVASCULAR ABNORMALITIES
CAD (Coronary Artery Disease)

Question 2

Peripheral Arterial Disease (PAD):

Definition and S&S

Answer 2

Patient has poor blood flow, thus poor oxygen delivery, from heart to peripheral arms & legs

Cyanosis
Weak/absent peripheral pulse
Cool
Paresthesia
Non-healing wounds on toes, feet
Intermittent Claudication - Pain in legs with exercise, even walking, relieved w/ rest; tissue is ischemic

Question 3

Peripheral Arterial Disease (PAD):

Nursing Interventions

Answer 3

-Keep legs down in dependent position (gravity)
-Regular exercise
-Diet
-Weight loss
-If pt has intermittent claudication, have them sit and rest

Question 4

Peripheral Venous Disease:

Definition and S&S

Answer 4

PVD: Damaged/blocked veins that carry blood from hands and feet back to the heart

s/s:
Edema
Varicose
Brownish-red discoloration on legs
Ulcers

Question 5

Peripheral Venous Disease:
Nursing Interventions​

Answer 5

Promote venous return:
-Encourage patient to ambulate (leg muscle contraction)
-Have patient elevate legs
-Don’t cross legs
-Compression stockings