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Health Assessment > Peripheral Vascular and Lymphatics (Chapter 21) > Flashcards

Peripheral Vascular and Lymphatics (Chapter 21) Flashcards

1
Q

arteries in the arm

A

brachial
ulnar
radial

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2
Q

what is the major artery in the arm

A

brachial

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3
Q

ulnar is deeper and __________ to palpate

A

harder

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4
Q

ulnar and radial supply the

A

hand

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5
Q

arteries of the leg

A

femoral
popliteal
dorsalis pedis
posterior tibial

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6
Q

major artery of the leg

A

femoral

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7
Q

where do we palpate the posterior tibial

A

inside of ankle by the medial maleouls

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8
Q

IVs are placed in

A

venous

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9
Q

right JVD reflects

A

heart

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10
Q

do veins have pressure waves/pulse

A

no

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11
Q

which is lower pressure?
venous or arterial

A

venous

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12
Q

what is the difference if you severed a vein vs a artery

A

a vein is going to bleed less because of the lack of pressure

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13
Q

edema can be a build up of

A

water, lymph, blood

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14
Q

lymphatics return excess fluid to

A

bloodstream

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15
Q

what are the 2 major ducts

A

right lymphatic and thoracic duct

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16
Q

what do nodes feel like

A

small, in groups, ovals, 1cm

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17
Q

how would a node look if it is responding to a pathogen

A

local inflammation, swollen and tender

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18
Q

how do we assess a lymph node

A

in circular motion

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19
Q

where are the 4 body regions with palpable nodes

A

cervical
axillary
epitrochlear
inguinal

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20
Q

cervical node supplies

A

head and neck

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21
Q

axillary node supplies

A

upper arm and breast

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22
Q

epitrochelar node supplies

A

hand and lower arm

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23
Q

inguinal node supplies

A

groin and lower extremities

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24
Q

where is epitrochelar node located

A

crack of elbow right next to brachial pulse

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25
Q

what 3 other organs aid lymphatics

A

tonsils, thymus gland, spleen

26
Q

lymph node enlargement occurs with

A

infection
malignancy
cancer
immune disease

27
Q

modified Allen test

A

assess the flow and circulation of radial and ulnar

28
Q

where are blood gases drawn from

A

arterial

29
Q

if only one body has hair what might this affect

A

nutrition, oxygen, flow issues

30
Q

pulse normal is

A

2+

31
Q

we assess dorsalis pedis where

A

by tendon down from big toe on top of foot

32
Q

rayunauds syndrome

A

autoimmune connective tissue disease

33
Q

lymphedema

A

related to mastectomy
increase edema in arm
no blood pressure or draws should be preformed on this arm why? could get blood clots

34
Q

arteriosclerosis

A

ischemic ulcer

35
Q

the relevant variable when discussing claudication with a patient is
A. related foods
B. distance
C. blood glucose
D. emotional state

A

b. distance

36
Q

DVT is common in

A

calf muscles

37
Q

what is the biggest risk factor for developing a DVT

A

BED RIDDED/REST

38
Q

what are some signs and symptoms of DVT

A

inflammation, blocked venous return, cyanosis, edema, sudden onset of intense sharp deep muscle pain, increased warmth and swelling, redness, tender to palpation

39
Q

is DVT an emergency

A

YES

40
Q

why is DVT an emergency

A

clot could move to lungs or heart

41
Q

arterial ulcer is also called

A

ischemia

42
Q

arterial ischemia ulcer is caused by

A

buildup of fatty plaques on intimate (atherosclerosis) plus hardening, calcification of arterial walls (arteriosclerosis)

43
Q

arterial ischemic ulcer signs and symptoms

A

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

44
Q

how does a arterial ischemic ulcer look like

A

ischemic base, well defined edges, no bleeding out, dry apperence

45
Q

common causes of arterial ischemic ulcers

A

smoking, diabetes, hyperlipidemia, hypertension

46
Q

do we want to elevate or depress legs in an arterial ischemic ulcer

A

depress legs to promote arterial flow

47
Q

venous ulcer is also known as

A

statsis

48
Q

how does a venous statsis ulcer look

A

coarse thickened skin, petechiae, brown pigment discoloration, irregular borders, shallow ulcer, may contain granulation tissues

49
Q

what are some symptoms of venous status ulcer

A

aching pain in calf/lower leg, worse at end of day, worse with prolonged sitting/standing, lessens with elevation, lower leg edema, pulse normal

50
Q

do we want to elevate or depress a venous status ulcer

A

elevate to promote blood flow back to heart

51
Q

what ulcer: deep muscle pain

A

arterial ischemic

52
Q

what ulcer: aching pain

A

venous statsis

53
Q

what ulcer: lower leg edema

A

venous statsis

54
Q

what ulcer: intermitted claudication

A

arterial ischemia

55
Q

what ulcer: coolness in affected area

A

arterial ischemia

56
Q

what ulcer: irregular borders

A

venous statsis

57
Q

what ulcer: may contain granulation

A

venous statsis

58
Q

what ulcer: signs of malnutrition

A

arterial ischemic

59
Q

what ulcer: distal gangrene

A

arterial ischemic

60
Q

what ulcer: thickened skin

A

venous statsis

61
Q

what ulcer: diminished pulses

A

arterial ischemic

62
Q

what ulcer: pulse normal

A

venous statsis

Health Assessment (20 decks)

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