T1 Blueprint - Vascular Disease (Josh) Flashcards
What is the definition of HTN?
140/90 or greater in people without DM
For HTN, what cholesterol levels should we keep in our diet?
less than 200 mg/dL
With PAD, where would pain be for INFLOW DISEASE?
lower back, buttocks, and thighs
With PAD, where would pain be for OUTFLOW DISEASE?
burning or cramping in calves, ankles, feet, and toes
What are the 6 P’s of PAD?
Pain
Pallor
Pulselessness
Paresthesia
Paralysis
Pokilothermia (coolness)
PAD:
How is the pain alleviated?
when the lower extremity is placed in dependent postion
PAD:
When does pallor occur?
when the extremity is raised above heart level
What are the Stages of Chronic PAD?
Stage I: no claudication, bruit may be present
Stage II: claudication with exercise
Stage III: pain while at rest, frequently at night
Stage IV: ulcers or blackened tissue present
What is postop nursing responsibility for Bypass for PAD?
Deep breathing q 1-2 hr
Monitor for graft occlusion (emergency)
Monitor for compartment syndrome
Assess for infection
PAD Postop:
What is the most common type of graft occlusion?
embolis
***Most common in lower extremities
What is Buerger’s Disease?
occlusive disease of arteries and veins in distal portion of upper and lower extremities
**eventually become gangrenous
What is associated with Buerger’s Disease?
tobacco smoking
What are S/S of Buerger’s Disease?
Claudication
Aching pain
Sensitivity to cold
Diminished pulse
Cool, red, or cyanotic extremities
How do you manage Buerger’s Disease?
Avoid all forms of tobacco
Avoid exposure to cold
Vasodilators
Where would pain from an Abdominal Aortic Aneurysm be located?
abdomen
flank
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