Peripheral Vascular and Lymphatic Assessment

Question 1

what is the lymphatic system’s primary function?

Answer 1

transport lymph
get rid of waste
returns fluid into the circulatory system

Question 2

how many directions is lymph flow

Answer 2

1 direction

Question 3

how is it possible for bp to decrease when you’re pregnant if blood volume increases?

Answer 3

vasodilation from hormones

Question 4

Why do pregnant women get lower extremity edema and varicosities in legs?

Answer 4

blood volume in increased

Question 5

what are some vascular issues that happen in older adults

Answer 5

Arteries calcify- arteriosclerosis, stenosis
Arterial walls lose elasticity and vasomotor tone
Varicose veins
Increased peripheral vascular resistance
Decreased venous return

Question 6

why would arteries calcify

Answer 6

increase in systolic bp

Question 7

what is arteriosclerosis

Answer 7

blood vessels become rigid (stiff)

Question 8

what is atherosclerosis

Answer 8

plaque build up in bv’s

Question 9

what is claudication

Answer 9

leg cramping pain

Question 10

patient c/o of leg pain or cramps what do you ask

Answer 10

where
when
how long it lasts
what makes it worse
what relieves it
type of pain (burning, stabbing)
does it radiate
any skin color changes
does it wake you up at night
what meds are you taking

Question 11

what is some pertinent info to ask during the assessment

Answer 11

PMH (diabetes, hypertension)
family history (heart history, hypertension, coronary artery disease, diabetes)
personal social history (smoking, drugs, alc)

Question 12

what are the risk factors

Answer 12

Age
Family Hx.
PMH
Obese
Inactive
Smoking

Question 13

why is age a risk factor

Answer 13

mobility and loss of elasticity

Question 14

what would be inspected during pv assessment

Answer 14

skin color
edema
superficial veins
bruising
lesions not healing

Question 15

what would you palpate during pv assessment

Answer 15

edema
temp of skin
thickness of skin
pulses

Question 16

what do you palpate arteries for

Answer 16

strength
equal bilateral

Question 17

what variables contribute to what you feel in a pulse

Answer 17

blood viscosity
blood volume

Question 18

what is a 0/3 pulse

Answer 18

absent

Question 19

what is a +1/3 pulse

Answer 19

weak

Question 20

what is a +2/3 pulse

Answer 20

normal

Question 21

what is a +3/3 pulse

Answer 21

bounding

Question 22

what are the 3 p’s of occlusion

Answer 22

pain
pallor
pulselessness

Question 23

what would you do if there is occlusion

Answer 23

raise legs
decrease fluid intake
decrease salt intake

Question 24

if edema is unilateral, what system is it typically

Answer 24

lymphatic

Question 25

if edema is bilateral what system is it typically

Answer 25

peripheral vascular

Question 26

if skin temp is decreased is it venous or arterial

Answer 26

arterial

Question 27

if edema is increases is it venous or arterial

Answer 27

venous

Question 28

if skin is dry and flaky with brownish discoloration is it venous or arterial

Answer 28

venous

Question 29

if skin temp is normal is it venous or arterial

Answer 29

venous

Question 30

if edema is normal is it venous or arterial

Answer 30

arterial

Question 31

is tissue is thin and shiny is it venous or arterial

Answer 31

arterial

Question 32

if hair is present is it venous or arterial

Answer 32

venous

Question 33

if there is hair loss is it venous or arterial

Answer 33

arterial

Question 34

if leg elevation lessens pain is it venous or arterial

Answer 34

venous

Question 35

if leg elevation increases pain (dangling decreases pain) is it venous or arterial

Answer 35

arterial

Question 36

if wounds occur secondary to inadequate function of the venous system is it venous or arterial

Answer 36

venous

Question 37

if wounds occur due to ischemia from lack of oxygenated blood is it venous or arterial

Answer 37

arterial

Question 38

if wounds are initially superficial but irregular in shape is it venous or arterial

Answer 38

venous

Question 39

if wounds lack granulation tissue and have smooth edges that are well defined is it venous or arterial

Answer 39

arterial

Question 40

if wounds are proximal to the medial malleolus is it venous or arterial

Answer 40

venous

Question 41

if there are ulcers on the lateral malleolus, lower thrid of leg, toes, and web spaces is it venous or arterial

Answer 41

arterial

Question 42

if pedal pulses are normal is it venous or arterial

Answer 42

venous

Question 43

if pedal pulses are diminished is it venous or arterial

Answer 43

arterial

Question 44

if nails are normal is it venous or arterial

Answer 44

venous

Question 45

if nails are yellow and thickened is it venous or arterial

Answer 45

arterial

Question 46

if pain is mild to moderate is it venous or arterial

Answer 46

venous

Question 47

if pain is severe is it venous or arterial

Answer 47

arterial

Question 48

if pain increases at the end of day as edema increases is it venous or arterial

Answer 48

venous

Question 49

if there is pain with walking but it is relieved at rest is it venous or arterial

Answer 49

arterial

Question 50

symptoms of chronic venous insufficiency

Answer 50

leg swelling skin color and texture changes venous ulcers

Question 51

Answer 51

arterial ulcer

Question 52

Answer 52

venous ulcer

Question 53

what is Raynaud phenomenon

Answer 53

Question 54

what is venous thrombosis

Answer 54

blood clot in the veins Sudden or gradual with varying severity of symptoms Can be the result of trauma or prolonged immobilization

Question 55

what is hypertension

Answer 55

One of the most common diseases in the world Responsible for stroke, renal failure, and congestive heart failure

Question 56

what is a risk with deep vein thrombosis

Answer 56

blood clot

Question 57

what are assessment findings with deep vein thrombosis

Answer 57

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