Peripheral Artery Disease Flashcards
Exam 2
Peripheral Arterial Disease: Epidemiology
8.5 million people in the U S
Peripheral Arterial Disease : Risk Factors
Atherosclerosis
Smoking
Hypertension
Diabetes
Dyslipidemia
Sedentary lifestyle
Ineffective stress management
Peripheral Arterial Disease: Pathophysiology
Obstruction of blood flow through large peripheral arteries cause partial or total occlusion
Peripheral Arterial Disease: Clinical Manifestations
Intermittent claudication
Peripheral Arterial Disease: Medical Management- Diagnosis
Ankle-brachial index
Peripheral Arterial Disease: Treatment
Prevent progression of disease
Manage symptoms
Peripheral Arterial Disease:
Medical Management- Medications
Antihypertensives
Antiplatelets
Statins
Peripheral Arterial Disease: Surgical Management
Percutaneous transluminal angioplasty
Laser-assisted angioplasty
Rotational artherectomy
Peripheral Arterial Disease: Complications
Acute limb ischemia
What are statins used for?
Buildup of plaque
What are antiplatelet medications for?
To prevent people from getting clots
Peripheral Arterial Disease:
Nursing Management- Assessment and Analysis
Manifestations depend on tissues involved and severity of altered blood flow
Peripheral Arterial Disease: Nursing diagnoses
Ineffective peripheral tissue perfusion
Risk for impaired skin integrity
Chronic pain
Peripheral Arterial Disease: Nursing Interventions – Assessments
Bilateral blood pressures
Palpate all pulses in both legs
Visual assessment of feet and limbs
Temperature of extremities
Assess bilateral muscle tone
Pain
Peripheral Arterial Disease: Nursing Interventions – Actions
Administer medications as ordered
Proper positioning
Peripheral Arterial Disease: Teaching
Positioning
Inspect feet daily
Report chest discomfort
Lifestyle changes
Peripheral Arterial Disease: Evaluating care outcomes
Pain free
Able to participate in normal activities
Carotid Artery Disease: Risk Factors
Smoking
Hypertension
Diabetes
Dyslipidemia
Sedentary lifestyle
Obesity
Ineffective stress management
Carotid Artery Disease: Clinical Manifestations
Asymptomatic until cerebral perfusion is impaired
Stroke or T I A
Carotid Artery Disease: Medical Management- Diagnosis
Carotid bruit
Carotid duplex scan
Computed tomography angiography
Magnetic resonance imaging
What is the most common test used to look at the plaque and stenosis?
Duplex ultrasound