Peripheral Vascular

Question 1

Cap refill

Answer 1

Under 3 sec

Question 2

VTE risk

Answer 2

Age
Immobility
Obesity
History of VTE
Trauma
Cigarette smoking

Question 3

Virchow triad for VTE

Answer 3

Blood stasis (sits there)
Vessel wall damage
Hypercoagubility state (increased clotting factors)

Question 4

Palpation and auscultation of carotid artery

Answer 4

Palpate: rate, rhythm, amplitude, symmetry

Auscultate: for bruit have them hold breath

Question 5

JVD

Answer 5

Stand on pt right side and turn head to the left

Begin in supine and look ffor jugular veing filling

Then move HOB to 30-45 degrees

Juguar probably not visible. If it is then located top of distended vein

Question 6

Grading pulses

Answer 6

1=weak thready
2=normal
3=normal more full
4=bounding strong

Check rate, rhythm, amplitude, symmetry

Question 7

Allen test

Answer 7

Check vascular efficiency of ulnar and radial artery

-thumbs occlude both arteries
-have them make a fist
-release one artery and have them release fist
-color should return in 3-5 seconds

Question 8

Edema

Answer 8

1=2mm
2=4mm
3=6mm
4=8mm

Question 9

Venous insuffiency

Answer 9

Dull achy pain
Warm
Edema
Red ruddy discoloration
Varicose veins
Sores with uneven border
Assess DVT/homans sign flex foot check for pain

Question 10

Arterial insufficiency

Answer 10

Intermittent claudication
Cold extremities
Poor wound healing
Hair loss, slow nail growth
No pulse, or weakened
Round, smooth sores on foot

Question 11

Intermittent claudication

Answer 11

Muscle pain that happens when youre active but stops when you rest

In calves