Peripheral Lecture - Peripheral Vascular Assessment Laurie...

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Peripheral Vascular Assessment Laurie Fasbinder, RN, MS University of Michigan School of Nursing
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Peripheral Vascular (PV) System Components Heart Arteries—most arteries carry oxygenated blood except for pulmonary artery. Veins—mostly carry deoxygenated blood to the heart. Except for pulmonary vein. Capillaries— RA tricuspid RV PV lung where
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Peripheral Vascular System Components Arterial Blood Heart Oxygenated blood Arteries Arteries pulse
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Peripheral Vascular System Components Venous Blood Veins (aka) Capacitance Vessels Thinner and more passive than arteries; therefore they can stretch Heart Deoxygenated blood Intraluminal valves (ILV) in the veins Varicose vein start off as tiny little veins. As they stop working, they get thicker and bigger (pic to the right) Skeletal muscles As you walk, you squeeze blood up against gravity. Blood is prone to clotting when you sit still, which could lead to clotting in the lung. Pressure gradient Difference in pressure between high pressure and low pressure Veins don’t pulse
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Focused History
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Case study-Norma James Norma James is a 65-year-old widow who lives alone. Although she has lived in the neighborhood for years, she is somewhat socially isolated. She has two adult sons with whom she has limited contact; they live out of the state and rarely call. She has a few friends; she does not particularly like many people and prefers the company of her six cats. Mrs. James has a long history of type 2 Diabetes Mellitus and Hypertension. In more recent years, she has been diagnosed with atrial fibrillation.
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Peripheral Lecture - Peripheral Vascular Assessment Laurie...

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