Course Hero Logo

Anticoagulants to prevent blood clots vasodilators

Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. This preview shows page 74 - 78 out of 105 pages.

anticoagulants - to prevent blood clotsvasodilatorsantiplatelet drugs - to prevent platelet aggregationpentoxifylline: promotes blood flow by making bloodcells more "slippery"osurgicalendarterectomyfemoral-popliteal bypasssympathectomyamputation of affected limb for gangrenelaser coronary angioplasty (LTA)peripheral angioplastyNursing care - both acute and chronic arterial occlusive diseaseadminister medications as orderedmonitor peripheral pulses and blanch testprovide comfort measuresprovide foot carepostop careof clientreinforce client teachingochange positions frequentlyoavoid crossing legsoavoid any constrictive clothing on legsoavoid trauma to lower extremities
ofoot careoplace legs in dependent position to increase blood flowRaynaud's phenomenon (arteriospastic disease)Definitionoepisodic vasospasm of the small cutaneous arteries thatresults in intermittent pallor or cyanosis of the skin -usually affects the fingers bilaterally, but occasionallyaffects the toes, nose, or tongue that result inintermittent pallor or cyanosis of the skinothe process involves a severe constriction of cutaneousvessels followed by vessel dilation and then a reactivehyperemia (blue, white, red). can lead to tissue necrosiswhen severe.Etiology: unknownomay occur by itself with no other disorders, but it is also acomponent of CREST syndrome, or systemic scleroderma,which is a progressive severe autoimmune disorderomore frequently occurs in womenomay be triggered by stress, cold or products that causevasoconstriction such as tobacco, caffeine, and chocolateFindings: 6 P's of poor perfusion - pain, pallor, pulselessness(poor capillary refill), paraesthesia, paralysis, poikilothermia(cold)Diagnosticsoclinical pattern
odigital plethysmography to look at tissue perfusionoperipheral arteriography- to look for specific areas ofblockageManagementopharmacologic agents - goal is to promote perfusionto affected digits, preventing gangrene and amputationcalcium channel blockers: nifedipine, diltiazemalpha-adrenergic blocking agentsvasodilatorsanalgesics for pain reliefosurgerysympathectomy in advanced stages for pain reliefamputation of digits showing gangreneomodification of lifestyle behaviors (tobacco cessation) andthe environment (maintain warm environment)Nursing careoadminister medications as orderedoprovide care of the client undergoing surgeryoreinforce client teachingmanagement of stressavoidance of tobacco products, caffeine, andchocolateavoidance of temperature extremesprotection from extreme cold and heat, use glovesmedications and side effects
Venous insufficiency results from prolonged venous hypertension,which stretch the veins and damages the valves.

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 105 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Fall
Professor
NoProfessor

Newly uploaded documents

Show More

Newly uploaded documents

Show More

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture