Peripheral Vascular and Lymphatics (Chapter 21) Flashcards
arteries in the arm
brachial
ulnar
radial
what is the major artery in the arm
brachial
ulnar is deeper and __________ to palpate
harder
ulnar and radial supply the
hand
arteries of the leg
femoral
popliteal
dorsalis pedis
posterior tibial
major artery of the leg
femoral
where do we palpate the posterior tibial
inside of ankle by the medial maleouls
IVs are placed in
venous
right JVD reflects
heart
do veins have pressure waves/pulse
no
which is lower pressure?
venous or arterial
venous
what is the difference if you severed a vein vs a artery
a vein is going to bleed less because of the lack of pressure
edema can be a build up of
water, lymph, blood
lymphatics return excess fluid to
bloodstream
what are the 2 major ducts
right lymphatic and thoracic duct
what do nodes feel like
small, in groups, ovals, 1cm
how would a node look if it is responding to a pathogen
local inflammation, swollen and tender
how do we assess a lymph node
in circular motion
where are the 4 body regions with palpable nodes
cervical
axillary
epitrochlear
inguinal
cervical node supplies
head and neck
axillary node supplies
upper arm and breast
epitrochelar node supplies
hand and lower arm
inguinal node supplies
groin and lower extremities
where is epitrochelar node located
crack of elbow right next to brachial pulse
what 3 other organs aid lymphatics
tonsils, thymus gland, spleen
lymph node enlargement occurs with
infection
malignancy
cancer
immune disease
modified Allen test
assess the flow and circulation of radial and ulnar
where are blood gases drawn from
arterial
if only one body has hair what might this affect
nutrition, oxygen, flow issues
pulse normal is
2+
we assess dorsalis pedis where
by tendon down from big toe on top of foot
rayunauds syndrome
autoimmune connective tissue disease
lymphedema
related to mastectomy
increase edema in arm
no blood pressure or draws should be preformed on this arm why? could get blood clots
arteriosclerosis
ischemic ulcer
the relevant variable when discussing claudication with a patient is
A. related foods
B. distance
C. blood glucose
D. emotional state
b. distance
DVT is common in
calf muscles
what is the biggest risk factor for developing a DVT
BED RIDDED/REST
what are some signs and symptoms of DVT
inflammation, blocked venous return, cyanosis, edema, sudden onset of intense sharp deep muscle pain, increased warmth and swelling, redness, tender to palpation
is DVT an emergency
YES
why is DVT an emergency
clot could move to lungs or heart
arterial ulcer is also called
ischemia
arterial ischemia ulcer is caused by
buildup of fatty plaques on intimate (atherosclerosis) plus hardening, calcification of arterial walls (arteriosclerosis)
arterial ischemic ulcer signs and symptoms
deep muscle pain, INTERMITTED CLAUDIFICATION, pain worse with leg elevation, coolness in only one leg, pallor, diminished pulses, systolic bruits, signs of malnutrition, distal gangrne
how does a arterial ischemic ulcer look like
ischemic base, well defined edges, no bleeding out, dry apperence
common causes of arterial ischemic ulcers
smoking, diabetes, hyperlipidemia, hypertension
do we want to elevate or depress legs in an arterial ischemic ulcer
depress legs to promote arterial flow
venous ulcer is also known as
statsis
how does a venous statsis ulcer look
coarse thickened skin, petechiae, brown pigment discoloration, irregular borders, shallow ulcer, may contain granulation tissues
what are some symptoms of venous status ulcer
aching pain in calf/lower leg, worse at end of day, worse with prolonged sitting/standing, lessens with elevation, lower leg edema, pulse normal
do we want to elevate or depress a venous status ulcer
elevate to promote blood flow back to heart
what ulcer: deep muscle pain
arterial ischemic
what ulcer: aching pain
venous statsis
what ulcer: lower leg edema
venous statsis
what ulcer: intermitted claudication
arterial ischemia
what ulcer: coolness in affected area
arterial ischemia
what ulcer: irregular borders
venous statsis
what ulcer: may contain granulation
venous statsis
what ulcer: signs of malnutrition
arterial ischemic
what ulcer: distal gangrene
arterial ischemic
what ulcer: thickened skin
venous statsis
what ulcer: diminished pulses
arterial ischemic
what ulcer: pulse normal
venous statsis
