PAD_0406 - (PAD KarenL.OBrien MSN,RN Etiology R/...

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Care of the Patient with  Peripheral Arterial Disease (PAD) Karen L. O’Brien MSN, RN
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Peripheral Arterial Disease: Etiology Progressive narrowing and  degeneration of arteries Atherosclerosis leading cause R/T other manifestations of CV disease 60-80 years old, earlier with DM Men>women 3X greater in African-American
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Peripheral Arterial Disease: Risk Factors Cigarette Smoking!!!! Hyperlipidemia HTN Diabetes Mellitus Others: Obesity Hypertriglyceridemia Family history Sedentary lifestyle Stress
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Description PAD may affect Aortoiliac artery Femoral artery Popliteal artery Tibial artery Peroneal artery
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Clinical Manifestations Intermittent claudication   Classic symptom of PAD Ischemic muscle ache or pain that is  precipitated by a constant level of exercise Resolves within 10 minutes or less with rest Reproducible Anaerobic metabolism-lactic acid
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Clinical Manifestations Intermittent Claudication Femoral-popliteal: calf Aortoiliac: buttocks, thighs Internal iliac: impotence Sedentary people may never exhibit  symptoms, not enough exertion
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Clinical Manifestations 6 P’s of PAD Pain Pallor Pulselessness Paresthesia Paralysis Poikilothermia-same temp as environment,  usually cool
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Clinical Manifestations Paresthesia: numbness, tingling toes,  feet >>> nerve ischemia Thin, shiny, and taut skin Loss of hair on the lower legs Diminished/absent pedal, popliteal, or  femoral pulses Reactive hyperemia (dependent rubor) Pallor
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Clinical Manifestations Rest pain With disease progression In the forefoot or toes and is  aggravated by limb elevation From insufficient blood flow More often at night, decreased CO
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This note was uploaded on 06/20/2011 for the course NURS 344 taught by Professor Hampson during the Spring '11 term at St. Xavier.

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PAD_0406 - (PAD KarenL.OBrien MSN,RN Etiology R/...

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