Peripheral Vascular Flashcards
Changes in (3) of skin.
Color, temperature or texture.
Women who take oral (transdermal) contraceptives are at a higher risk of thrombophlebitis, edema. T/F?
True
The lymph nodes we palpate between the biceps & triceps are the:
Epitrochlear Lymph Nodes
Poor venous return may be suggested by (3)
- Pallor when legs elevated
- Cyanosis or rubor (bluish red) when legs are dependent
- Brown or rusty color around ankles.
When inspecting legs, the calf muscles should measure equal. T/F?
True
Edema may be indicated by the loss of:
Visible Landmarks
Edema in 1 leg suggests:
Local peripheral vascular problem
Edema in 2 legs suggests:
Systemic problem
Calf measurement difference of more than 2cm suggests:
Unilateral Edema
Pitting Edema is:
When the skin remains indented, when pressure applied to edema.
Pitting Edema is measured by a scale. +1-+4
+1 2mm
+2 4mm
+3 6mm
+4 8mm
When palpating temperature in legs, coolness of one suggests:
Vascular Insufficiency
Increased temperature of one leg suggests:
Thrombophlebitis (Swelling of vessel caused by clot)
T/F in some people Dorsalis Pedis & Posterior Tibial pulses aren’t palpable.
TRUE
Homan’s Sign is tested by:
Slightly flexing knee and quickly flexing the foot backward.
A positive Homan’s Sign (pain or tenderness on dorsiflexion) indicates:
Thrombophlebitis
If peripheral pulses are weak we should assess for:
Arterial Insufficiency
To assess for arterial insufficiency we: (3)
- Have client supine
- Raise legs 12” above heart level, ask client to wag feet to drain blood.
- Have client sit up and dangle legs.
When we do this legs should:
Remain slightly pink/pale when elevated
Pinkish color returns within 10s when dangled
Arterial insufficiency is suggested when: (3)
- Persistent rubor of toes & feet
- Marked pallor when elevated
- Return of color longer than 10s
