Venous Vascular Disorders Flashcards

1
Q

Describe how varicose veins look.

A

Irregular, dilated, tortuous areas of superficial veins

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2
Q

Where are varicose veins found?

A

Common in the legs but can also occur in the esophagus and rectum

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3
Q

What do varicosities in the legs develop from?

A

Varicosities in the legs can develop from weakness or defect in the walls or valves of veins

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4
Q

What increases pressure within veins?

A

Long periods of standing

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5
Q

What do varicosities predispose someone to?

A

Thrombus Formation

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6
Q

What is the etiology of varicose veins? (5)

A
  1. Familial tendency
  2. Less muscle support in superficial veins
  3. Valvular damage
  4. Standing for long periods of time
  5. Crossing legs
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7
Q

What type of valvular damage can lead to varicose veins? (3)

A
  1. Trauma
  2. IV administration
  3. Thrombophlebitis
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8
Q

How do superficial varicosities look?

A
  1. Irregular
  2. Purplish
  3. Bulging structures
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9
Q

One clinical manifestation of varicose veins is edema, what can this lead to?

A
  • Fatigue and aching in the legs

- Edema decreases arterial blood flow and therefore nutrient supply

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10
Q

When varicose veins are present, how does the skin look?

A
  • Shiny
  • Pigmented
  • Hairless
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11
Q

Due to varicose veins, a chronic sore can develop on the legs, what is it called?

A

Varicose ulcers

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12
Q

What is the treatment for varicose veins? (3)

A
  1. Keep legs elevated
  2. Support stockings/ restricted clothing
  3. Crossing legs to be avoided
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13
Q

Define thrombophlebitis.

A

Thrombus development in inflamed vein

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14
Q

Where does thrombophlebitis occur?

A

IV sites

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15
Q

Define phlebothrombosis.

A

Thrombus forms spontaneously without prior inflammation; attached loosely

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16
Q

3 factors for thrombus development

A
  1. Stasis of blood or sluggish blood flow
  2. Endothelial injury
  3. Increased blood coagulability
17
Q

Are the clinical manifestations of thrombophlebitis and phlebothrombosis overt?

A

No, they often go unnoticed.

18
Q

What are the symptoms of thrombophlebitis and phlebothrombosis in the affected legs? (3)

A
  1. Aching
  2. Burning
  3. Tenderness
19
Q

What are the systemic signs of thrombophlebitis and phlebothrombosis? (3)

A
  1. Fever
  2. Malaise
  3. Leukocytosis
20
Q

What is a complication of thrombophlebitis and phlebothrombosis?

A

Pulmonary embolism

21
Q

What are the preventative measures that can be taken to prevent against thrombophlebitis and phlebothrombosis?

A

Exercise and leg elevation

22
Q

What type of therapies or interventions are used for thrombophlebitis and phlebothrombosis?

A
  1. Anti coagulant therapy

2. Surgical intervention