Peripheral Vascular and Lymphatic Assessment Flashcards
what is the lymphatic system’s primary function?
transport lymph
get rid of waste
returns fluid into the circulatory system
how many directions is lymph flow
1 direction
how is it possible for bp to decrease when you’re pregnant if blood volume increases?
vasodilation from hormones
Why do pregnant women get lower extremity edema and varicosities in legs?
blood volume in increased
what are some vascular issues that happen in older adults
Arteries calcify- arteriosclerosis, stenosis
Arterial walls lose elasticity and vasomotor tone
Varicose veins
Increased peripheral vascular resistance
Decreased venous return
why would arteries calcify
increase in systolic bp
what is arteriosclerosis
blood vessels become rigid (stiff)
what is atherosclerosis
plaque build up in bv’s
what is claudication
leg cramping pain
patient c/o of leg pain or cramps what do you ask
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
what is some pertinent info to ask during the assessment
PMH (diabetes, hypertension)
family history (heart history, hypertension, coronary artery disease, diabetes)
personal social history (smoking, drugs, alc)
what are the risk factors
Age
Family Hx.
PMH
Obese
Inactive
Smoking
why is age a risk factor
mobility and loss of elasticity
what would be inspected during pv assessment
skin color
edema
superficial veins
bruising
lesions not healing
what would you palpate during pv assessment
edema
temp of skin
thickness of skin
pulses
what do you palpate arteries for
strength
equal bilateral
what variables contribute to what you feel in a pulse
blood viscosity
blood volume
what is a 0/3 pulse
absent
what is a +1/3 pulse
weak
what is a +2/3 pulse
normal
what is a +3/3 pulse
bounding
what are the 3 p’s of occlusion
pain
pallor
pulselessness
what would you do if there is occlusion
raise legs
decrease fluid intake
decrease salt intake
if edema is unilateral, what system is it typically
lymphatic
if edema is bilateral what system is it typically
peripheral vascular
if skin temp is decreased is it venous or arterial
arterial
if edema is increases is it venous or arterial
venous
if skin is dry and flaky with brownish discoloration is it venous or arterial
venous
if skin temp is normal is it venous or arterial
venous
if edema is normal is it venous or arterial
arterial
is tissue is thin and shiny is it venous or arterial
arterial
if hair is present is it venous or arterial
venous
if there is hair loss is it venous or arterial
arterial
if leg elevation lessens pain is it venous or arterial
venous
if leg elevation increases pain (dangling decreases pain) is it venous or arterial
arterial
if wounds occur secondary to inadequate function of the venous system is it venous or arterial
venous
if wounds occur due to ischemia from lack of oxygenated blood is it venous or arterial
arterial
if wounds are initially superficial but irregular in shape is it venous or arterial
venous
if wounds lack granulation tissue and have smooth edges that are well defined is it venous or arterial
arterial
if wounds are proximal to the medial malleolus is it venous or arterial
venous
if there are ulcers on the lateral malleolus, lower thrid of leg, toes, and web spaces is it venous or arterial
arterial
if pedal pulses are normal is it venous or arterial
venous
if pedal pulses are diminished is it venous or arterial
arterial
if nails are normal is it venous or arterial
venous
if nails are yellow and thickened is it venous or arterial
arterial
if pain is mild to moderate is it venous or arterial
venous
if pain is severe is it venous or arterial
arterial
if pain increases at the end of day as edema increases is it venous or arterial
venous
if there is pain with walking but it is relieved at rest is it venous or arterial
arterial
symptoms of chronic venous insufficiency
leg swelling
skin color and texture changes
venous ulcers
arterial ulcer
venous ulcer
what is Raynaud phenomenon
what is venous thrombosis
blood clot in the veins
Sudden or gradual with varying severity of
symptoms
Can be the result of trauma or prolonged
immobilization
what is hypertension
One of the most common diseases in the world
Responsible for stroke, renal failure, and
congestive heart failure
what is a risk with deep vein thrombosis
blood clot
what are assessment findings with deep vein thrombosis
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