PVD

Question 1

what are the 6P’s of artery occlusion

Answer 1

pain
pulses decreased/absent
pale
paresthesia
paralysis
poikilothermia: inability to regulate temperature

Question 2

S/S of critical limb ischemia

Answer 2

extreme pain
pain with elevation relieved by dangling feet
decreased/absent pulses
skin - dark & blue, shiny, hairless, thick toenails
sores won’t heal: gangrene
6Ps

Question 3

what is the purpose of exercise ABI

Answer 3

to determine the severity of blockage

Question 4

how to measure true systolic BP and what is abnormal ABI

Answer 4

below 0.9 is blockage
severe is <0.5
ischemia, gangrene <0.2

Question 5

what drugs are given for clots

Answer 5

t-Pa via femoral catheters with heparin

Question 6

where are DVTs found

Answer 6

posterior tibial (calf) vein
popliteal veins
subclavian veins

can progress to PE

Question 7

warning signs for DVT

Answer 7

one side visibly swollen
pain/tenderness in calf
swelling
redness/noticeable discoloration
warmth
deep muscle tenderness
increased WBCs

Question 8

warning signs for PE

Answer 8

unexplained SOB
rapid breathing
chest pain that worsens with deep breath
tachycardia
lightheadedness

Question 9

treatment for varicose veins

Answer 9

compression socks
legs elevated 15-20degrees
limit standing
STS (sodium tetradecyl sulfate) to cause irritation and inflammation leading to veins closing off