Vascular Disorders Flashcards
1
Q
PAD in lower extremities Signs
A
- swelling
- skin changes
- ulcer
2
Q
PAD RF Preventions
A
- smoking cessation
- control BP/weight/glucose
- exercise
- DASH
3
Q
Percutaneous transluminal angioplasty (PTA)
A
Involves insertion of a catheter through femoral artery
-places stent
4
Q
PAD Most common surgical approach
A
Peripheral artery bypass surgery or synthetic graft
5
Q
Care: leg with critical limb ischemia
A
- protect from trauma
- treat pain
- prevent infection
- improve arterial perfusion
6
Q
PAD assessment
A
- intermittent claudication
- decreased/absent peripheral pulses
- exercise intolerance
- loss of hair on legs/feet
7
Q
PAD Acute Care
A
- skin color/temp
- cap refill
- presence of peripheral pulses distal
- sensation & movement of extremity
- knee flexed avoided
- turn & position often
8
Q
PAD Ambulatory Care
A
- long term antiplatelet therapy
- supervised exercise
- foot care
9
Q
Acute Arterial Ischemic Disorders
A
- 6 Ps
- Bueger’s disease: men <45 w/ history of tobacco/marijuana
- Raynaud’s: color changes
- T: smoking cessation, avoid cold temps, exercise
10
Q
Aortic Aneurysm Care
A
- surgery: if ruptured (OAR)
- Preop: hydration
11
Q
Endovascular graft
A
- less anesthesia & time
- decreased morbidity/morality
- quicker recovery
12
Q
Intraabdominal HTN
A
- open surgical compression
- percutaneous drainage
- tPA infusion
13
Q
Indications of Aneurysm Rupture
A
- diaphoresis
- pallor
- weakness
- tachycardia
- hypotension
- abdominal, back, groin, periumbilical pain
14
Q
Aortic Dissection
A
- initial goal: HR & BP control
- TEVAR
15
Q
Aortic Dissection Preop
A
- semi fowlers
- anxiety/pain management
- continuous IV of antihypertensive agents
