Peripheral Vascular Disease Flashcards
Risk factors for PVD
smoking DM High cholesterol heart disease stroke age > 50
Sxs of Venous insufficiency
lower extremity edema achiness or tiredness in legs leathery looking skin stasis ulcers flaking or itching skin
chronic venous insufficiency
condition that occurs when the venous wall and/or valves in the leg veins are not working effectively
caused blood to pool in these veins
affects 40% of US population
PVD–Arterial s/s
intermittent claudication no edema no pulse or weak pulse no drainage round smooth sores skin shiny, thick toenails loss of leg hair black eschar sores on toes and feet pain gets better when dangling feet, increases if elevate
PVD–Venous s/s
dull, achy pain lower leg edema pulse present drainage sores with irregular borders yellow slough, or ruddy skin sores on ankles
diagnosis of PVD–Arterial
Ankle-brachial index (ABI)
comparison of blood pressure in leg v. arm
normal ration is > 1
severe PAD ABI < 0.5
5 P’s of PAD
Pain (intermittent claudication) Pulselessness Palpable coolness Paresthesias Paresis (weakness of extremity)
pharmalogical tx of PVD
antiplatelets anticoagulants thrombolytics lipid lowering agents antihypertensives
treatment for intermittent claudication
cilostazol
pentoxifylline
cilostazol
moa & ae
platelet inhibitor
vasodilation
HA, dizziness, D, abnormal stools, palpitations, peripheral edema
drug interactions
pentoxifylline
moa & ae
relieves leg pain by increasing blood flow and O2 through the blood vessels. helps to increase walking distance and duration.
N/V, dizziness
