systemic tx -- CVD (PAD, PVD)

Question 1

PAD (peripheral artery disease)

Answer 1

no/limited edema

cold

yes pulse, also possibly diminished

skin = pale, dry, hairless, scaly

sores – decubitus? gangrene? poor healing for wounds

intermittent claudication

Question 2

PVD (peripheral vascular disease) (?)

Answer 2

limited –> alot of edema

warm

pulse = not palpable, or slight

skin –> red

stasis dermatitis
(aka gravitational dermatitis, venous eczema, and venous stasis dermatitis)

sores? possibly shallow
“venous ulcers”

Question 3

special tests

Answer 3

VARICOSE VEINS:
manual compresion test
leg raise test

CARDIOVASCULAR:
capillary refill test
allen’s test

DVT:
Homan’s test

edema:
pitted edema test

Question 4

skin integrity test

Answer 4

standalone test

Question 5

consider these case hx q for CVD

Answer 5

last time BP checked?

ADLs + intensity

any pain during activity (claudication)

chest pain Hx?

family Hx?

Question 6

HYPERTENSION 3/4 w/ meds

Answer 6

tx without prone

Question 7

hyper tension 3/4, w/o meds

Answer 7

no tx

refer to doctor

Question 8

seated, clothed tx – hypertension 3/4, no meds

Answer 8

possibly can be done

still must be careful and ask for pt physician permission