Venous and Arterial Assessment Flashcards
Venous Insufficinecy S/S
-moist skin, swelling, discoloration
-allieviated with elevation
-aggrevated when legs down
Signs of Deep Vein Thombosis
-Unilateral cramping, unilateral signs of inflammation (red, heat, pain, swelling)
Phlebitis Examination
-meauring thigh or calf for a bilateral increase in size, heat, pain, redness,
-feet standing a foot apart
-significant if measuring 1.5 (male) or 1.2 (female) difference in size
Lowenberg Cuff Test
-wrap cuff around uppe calf below knee
-inflate grradually to 80mmHg and ask about discomfort
-discomfort with <40 is abnormal (do both)
Venous Filling Time
-use a pen to mark superficial veins of foot
-elevate feet and do ankle pumps at 60 degrees for 1-2 mins
-sit patient up and time venous refilling
-12-20s
Arterial Insufficiency S/S
-cyanosis, paleness, coldness, lack of hair
-alleiviated with feet down
-agrrevated with feet elevated
Buerger’s Test
-elevate ONE leg to 45 degrees for 3 minutes
-return to sitting and watch as the skin turns blue and then red
-should take 1-2 minutes forr the color to be equal
Capillary Nail Refill test
-have patients hold hand above hear
-apply pressure to nail bed until white
-release until redness returns
-2 seconds
->2s sign of dehydration, shock, peripheral artery disease