Vascular disorders Flashcards
Involves thickening of the artery walls and progressive narrowing of arteries of upper and lower extremities
Peripheral Artery Disease (PAD)
PAD is leading cause of
Atherosclerosis
PAD risk factors
Low HDL-C High LDL-C Increased triglycerides Genetic predisposition Diabetes Obesity Sedentary lifestyle Smoking Stress African Americans older adults
PAD of Lower Extremities
a. PAD may affect
b. Iliac artery
c. Femoral artery
d. Popliteal artery
e. Tibial artery
f. Peroneal artery
Clinical manifestations of PAD
Intermittent claudication Ischemic muscle p! Paresthesia Reduced BF p! @ rest Reactive hyperemia of foot
Most serious complication of PAD
delayed healing; tissue necrosis
Non-healing arterial ulcers & gangrene
Diagnostic studies of PAD
Dopper ultrasound
Angiography
ABI
Nursing care of PAD
Walking is most effective exercise
Walk to point of p!; then stop
Uses contrast medium to identify coronary blockages
Coronary angiography
Removal of obstructing plaque
Atherectomy
Arterial Revascularization Post operative
Deep breathing
maintain circulation–pedal pulses
Monitor for graft occlusion
Acute care of arterial revascularization
circulatory assessment
Avoid knee-flexed positions & crossed legs
turn frequently
Abdominal aortic aneurysms clinical manifestations
Detected on routine physical exam
May mimic p! with abdominal or back disorders
Abdominal aortic aneurysm may cause
back pain
epigastric discomfort
altered bowel elimination
intermittent claudication
Most common manifestation of thoracic aorta aneurysm (TAA)
Deep diffuse chest pain, Pain may extend to interscapular area
