335 Peripheral Vascular Disease

Front 1

complications art insufic

Back 1

gangrene
septicemia
pressure ulcers

Front 2

wagner grading foot ulcers

Back 2

0-preulcer cllus
1-superficial break
2-deep break
3-extends to bone, abscess, osteomyleitis
4-gangrene of forefoot
5-gangrene of entire foot

Front 3

arterial occlusion has _____ claudication

Back 3

intermittend

Front 4

where do arterial ulcers show up?

Back 4

webs of toes
tips of toes

Front 5

key to art ulcers prevention

Back 5

keep feet clean and dry
assess early
predisposition

Front 6

art ulcer has ____ edge

Back 6

sharp

Front 7

art ulcer has _____ base

Back 7

pale

Front 8

art ulcers are typicallly _____ ulcerations

Back 8

deep

Front 9

venous ulcers

Back 9

aching or heaviness
foot/ankle edema
medial/lateral malleolus
large, superficial and full of exudate
neurapathy or painless ulcers

Front 10

medical management ven ulcer

Back 10

compression therapy
debridment

Front 11

more med management of ven ulcer

Back 11

topical therapy
wound dressing
hyperbaric oxygenation
negative wound therapy

Front 12

priority dx ven ulcer

Back 12

risk for infection
nutrition
immobility
obesity

Front 13

nursing management ven ulcer

Back 13

elevate legs
hygeine to prevent infx
wound care
support stocking
medical nutrition therapy
edu
ns for cleansing
moisten with lanolin cream (not to wound itself)

Front 14

pt edu ven ulcer

Back 14

monitor feet and legs for skin breakdown
qd foot care
avoid temp extreme, constrict lcothing, prolonged standing, crossed legs at knee
s/s reduced ciruclation (notify provider)

Front 15

basic foot care

Back 15

wash qd, warm water
check water temp with hands not feet
dry thouroughly but gently
lotion to feet and legs but not between toes
never barefoot
cotton socks, proper shoes
keep elevated

Front 16

acute ven thrombo

Back 16

10-15 of bloo flow back to heart

superficial veins
more obvious
pain/tenderness
red warm involved area
cellulitis looking

Front 17

deep vein thrmbo

Back 17

85-90 blood supply bak to heart

increased swelling
potential clot formation
deep achy pain
tenderness (later)
edema

Front 18

varicose veins

Back 18

distended veins
loss of vascular competence
^ ven pressure wrosesns problem
can lead to venous ulcers

Front 19

common varicose areas

Back 19

greater saphenous
perforator veins

Front 20

medican interventions varicose vein

Back 20

thermal ablation
sclerotherapy (palliative)
graded compression stocking

Front 21

sx intervetions varicose veins

Back 21

ligation and stripping (last resort)

Front 22

drug and other therapy ven thromboembo

Back 22

LMWH (no ptt)
heparin (ptt)
coumadin

factor Xa inhibitor fundaperinox/arixtra (no monitoring)

intraluminal filter inserted inferior vena cava. stops them from getting to lungs

thrombolytic (clot busters)
clot extraction

Front 23

post thromboltic syndrom

Back 23

discoloration of legs
calf or leg pain/tenderness
sweling of the leg or lower limb
warm skin
surface veins become more visible
leg fatigue

Front 24

surgical management of aortoiliac disease

pre op

Back 24

atb therapy
baseline asses of ciruclation
routine paramenters

Front 25

aortoiliac diseas complications

Back 25

thrombosis
bleeding suture line
infection
renal function
GI function

Front 26

aneurysm

Back 26

portion of artery weakens and bulges

Front 27

causes of aneurysm

Back 27

atherosclerosis, htn, smoking, congenital defect, trauma, infection

Front 28

patho aneurysm

Back 28

tunica media weakens from degenerative changes and force of blood flow

four types
saccular
fusiform
dissecting
pseudo aneurysm

Front 29

assessment of aneuris

Back 29

asymptomatic
chronic or sudden sever back chest of abd pain
pulsating abd mass
audible bruit over the aorta
headache distrubred vision and facial pain

Front 30

additional findings of aneurysm

Back 30

decrased femoral pulses
lower bp in lower extrem
diffuse chest pain
jugular vein distension
edema
hoarse voice
cough
dyspnea
dysphasia
dizziness

Front 31

medical management aneurysm

Back 31

bed rest
analgesic
beta blocker
ace
antihtn

Front 32

nuring managemtne aneurysm

Back 32

vitals
io
neurs
cardio
peripheral vascualr
monitor labs
emotional
edu
-meds
-risks

Front 33

anuerysm dx

Back 33

chest xr
ecg
abd ultrasound
abd ct

Front 34

intention for procedures r/t aneurism tx is to....

Back 34

profuse tissue

Front 35

stens

Back 35

wire mesh springs
coted with drugs that prevent clots
inserted into vessel which has been occluded

Front 36

aneurism repair complications

Back 36

rupture and hemorrhage
-shock s/s
arterial occlusion
renal insufficiency/failure
ischemic bowel
impotence and infection

Front 37

ischemic bowl symptoms

Back 37

liquid stool <3rd post op day with pt bowl comp or sx

Front 38

amputation pre op assess

Back 38

physical condition
emotional issues

Front 39

type of ampu sx

Back 39

flap
open

Front 40

flap amp sx

Back 40

flap of skin covers end of stump

Front 41

open sx ampu

Back 41

prn infection

Front 42

issues r/t ampu sx

Back 42

phantom limb sensation/apin

warmth, cold pain

2ndary to nerve damange

pain less common. more often r/t post op pain

Front 43

lymphedema

Back 43

accumulation of lymphatic fluid in interstitial space

Front 44

untreated lymphedma

Back 44

extreme swelling
poorly nourished tissues
high risk infection

Front 45

lymphedema management

Back 45

no cure
minimize fluid accumulation
elevation of effected part
elastic garments
diuretics and drugs
external pneumatic compresssion device
complex decongestive therapy

Front 46

nursing dx lymphadema

Back 46

risk for infection
impaired body image
impaired tissue perfussion
immobility
self care deficit
activity intolerance
risk for peripheral neurvacular dysfunction
fluid volume excess/defcite
deficient knowledge
pain