Vascular Flashcards

1
Q

Arteriosclerosis

A

Associated with aging

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2
Q

Peripheral arterial disease

A

Occlusive disease
Aneurysmal disease
Vasospastic disease

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3
Q

Venous disease

A

Venous thrombosis

Chronic venous insufficiency

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4
Q

PAD risk factors

A
Diabetes 
Smoking
Obesity 
Increased lipids 
HTN 
Increased cholesterol
Age
African American 
Family Hx
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5
Q

Aneurysm types

A

Fusiform (bulges out on both sides)

Sacular ( bulges out on one side)

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6
Q

Risk factors for aneurysm

A
Atherosclerosis 
HTN
Lipids 
Smoking 
Age
Male
Family Hx 
Trauma
Infarction 
Marfans syndrome
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7
Q

True aneurysm

A

Weakened by congenital or acquired problems

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8
Q

False aneurysm

A

Injury
Trauma
To vessel

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9
Q

Six Ps

A
Pain 
Pallor
Pulslessness
Parathesias 
Paralysis 
Pokilotherapy (coolness)
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10
Q

Assessment of aneurysm

A
Gnawing
Unaffected by movement 
Lasts for hours/days 
Pain in abdomen, flank, back
Abdominal mass is pulsatile 
Rupture may occur
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11
Q

Assessment of thoracic aortic aneurysm

A
Back pain 
Asymptomatic 
SOB
Dysphagia 
Visible above suprasternal notch 
Sudden pain
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12
Q

Aortic aneurysm above

A

5-5.5cm or expanding rapidly needs repair

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13
Q

Tx of choice for aneurysm

A
Endovascular repair 
(Stent)
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14
Q

Aortic dissection

A

Sudden tear in aortic intima. Blood enters aortic wall

Pain sharp, tearing, stabbing, chest, back, neck, jaw, teeth
10/10

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15
Q

Aortic dissection risk

A

HTN
Marfans
Middle aged
Men>women

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16
Q

Aortic dissection nursing

A
2 large bore IV
Morphine
Beta blocker 
Esmolol
IV nicardipine
17
Q

Drug for raynauds

A

Nifeipine

Side effects
Decreased BP
HA
Facial flushing

18
Q

Raynauds

A
Older than 30
Unilateral 
Blanching
Cyanosis 
Pallor
Throbbing 
Normal pulses