Peripheral Vascular Disease Management

Question 1

What is the most effective exercise method to reproduce blood flow in the LEs for patients with PVD?

Answer 1

resisted ankle pumps

Question 2

Physiologically, how does exercise help those with PVD increase functional capacity?

Answer 2

collateral ciruclation

muscle oxidative capacity improves

Question 3

How would you set up a walking program with someone with PAD?

Answer 3

pts reports no pain within first 3-5 min, then terminate walking if they report mild symptoms

• after pain subsides, then continue (intervals will be necessary initially)
• total time 30-60min, can break up each day in beginning if needed

Question 4

What are modified buerger-allen exercises, and what are they used for?

Answer 4

used for PVD

- postural exercises plus active PF/DF

Question 5

What meds are given to patients with peripheral arterial disease?

Answer 5

blood thinners to prevent thrombosis
vasodilators (controversial)
Ca2+ blockers in vasospastic disease

Question 6

You’re putting your patient with chronic venous insufficiency back to bed - how high should you elevate their legs?

Answer 6

18cm above heart

Question 7

Debbie is using compression pump therapy for her chronic venous insufficiency. How often would you tell her to use it, and for how long each time?

Answer 7

1-2 hours each session, two sessions per day

Question 8

What are some indications that you would NOT want to do compression on a leg?

Answer 8

suspected DVT with no medication yet

ABI

Question 9

Gauze that contains zinc oxide, gelatin, and glycerine used for compression is called what?

Answer 9

Unna boot (bandage applied for use over 4-7 days)