Peripheral Vascular Occlusions

Question 1

Chronic arterial occlusion #1 sign

Answer 1

Intermittent claudication

Question 2

What part of intermittent claudication causes pain

Answer 2

Exercise - hypoxia

Question 3

Acute occlusion s/s

Answer 3

Usually a clot
Pain
Hyperemia
Numbness/Paralysis

Question 4

Venous occlusion

Answer 4

Decrease emptying of the limp - blood cannot get back out - Venous congestion

Question 5

Venous occlusion pain is usually

Answer 5

localized and a “Deep” pain

Question 6

Homan’s sign

Answer 6

Pain or dorsiflexion of foot

Question 7

HOB/Elevate a arterial occlusion?

Answer 7

Elevate HOB but DO NOT elevate extremity

Question 8

HOB/Elevate a venous occlusion?

Answer 8

Elevate affected extremity - venous pooling

Question 9

Activity arterial occlusion?

Answer 9

Encourage - bc more activity increases collateral circulation

Question 10

Activity venous occlusion?

Answer 10

Discourage - veins will get bigger and if it breaks free it will embolus

Question 11

3 Tx for Chronic arterial occlusion:

Answer 11

1. Anti-platlet therapy (ASA, clopidogrel)
2. Control condition (DM, smoking)
3. Prevent injury to limb - ulcers and wounds that don’t heal

Question 12

2 Tx for Acute arterial occlusion:

Answer 12

1. Anticoagulation (Heparin)

2. Surgery

Question 13

Tx for venous occlusion

Answer 13

1. Anticoagulants or thrombolytics
2. Warm packs
3. Increase fluids - reduce thickness of blood
4. Monitor PE, stroke, MI