PVD Handout Spring 2011

PVD Handout Spring 2011 - PerpheralVascular Disease Spring...

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1 Perpheral Vascular  Disease Spring 2011 Lydia R. Zager, MSN, RN-NEA-BC
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S AFETY - System Specific Physiology for Peripheral Vascular Disease (PVD) Peripheral Arterial Disease – Away from the Heart Progressive narrowing and degeneration of arteries predominately in neck, abdomen, legs Affects smaller vessels far from heart Primary etiology - Atherosclerosis Peripheral Venous Disease – Back to the Heart Disease of veins with inadequate blood flow from the extremities Etiology: Venous stasis Endothelial injury Hypercoagulability 2 Men Copyright ICAN Publishing, Inc.
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S AFETY - System Specific Physiology for Peripheral Vascular Disease (PVD) Examples of Perpheral Artery Disease Raynaud’s Disease Buerger’s Disease Carotid Artery Disease Examples of Perpheral Venous Diseases Venous Insufficiency Deep Vein Thrombosis – complication Varicose Veins 3 Copyright ICAN Publishing, Inc.
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4 Which statement made by the nurse indicates an understanding of the pathophysiology related to perpheral Venous disease? 1. “There is a change in peripheral resistance of the vessels going away from the heart.” 2. “There is a decreased or obstructed blood flow going away from the heart.” 3. “There is a combination of stasis of venous flow, vessel wall injury and altered blood coagulation.” 4. “There is abnormal fluid collection, edema, and fibrosis.” Answer 3 Copyright ICAN Publishing, Inc.
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S AFETY - System Specific Physiology - PVD 5 Major Modifiable Risk Factors Smoking Alcohol/Illicit drug use Hypertension Hyperlipidemia Metabolic Syndrome Sedentary lifestyle Obesity Diabetes Valvular abnormalities Men Copyright ICAN Publishing, Inc.
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S AFETY - System Specific Assessment – PVD - Comparison of Arterial and Venous Arterial blood away from heart Segmental Systolic B/P readings Palpate for pulsating abdominal mass Pain Intermittent claudication Appearance of extremities Color - Dependent rubor changes to Pale with elevation Shiny ,taut, poor hair growth Temperature - cool Ulcers - regular borders Color - pale, gray or yellowish Venous – blood back to heart Varicose veins maybe present Pain - dull, heavy & aches Appearance of extremities Color - Brown, dark Edema in feet & ankles Temperature – warm Ulcers – Irregular shape Color - beefy red / granulation Drainage - Exudative wounds Pain – walking or dependent 6 Copyright ICAN Publishing, Inc.
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S AFETY - System Specific Assessment: Lab & Diagnostic Procedures 7 Lab Electrolytes Liver Function tests BUN and Creatinine CBC Urinalysis Lipid Panel Diagnostic Doppler Studies Arteriography Exercise Tolerance Test Segmental Systolic Blood Pressure Measurements Duplex ultrasound Copyright ICAN Publishing, Inc.
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S A FETY - Analysis of Assessments Key Nursing Diagnoses / Concepts 8 Ineffective tissue perfusion (perpheral)
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This note was uploaded on 02/15/2011 for the course NURS 412 taught by Professor Williams during the Spring '11 term at South Carolina.

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PVD Handout Spring 2011 - PerpheralVascular Disease Spring...

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