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18 Cards in this Set
- Front
- Back
The first subtle sign of PAD is often:_____
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Lack of toe hairs
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muscle cramping w/ activity is called: _____
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Claudication
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With PAD, pain frequently occurs at night because:____
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BP drops @ night, reducing perfusion
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By onset of claudication, _________
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Pt has lost 50% of arterial capacity
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Rest pain is associated w/ ________
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A 7x increase in amputation
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Characteristics of PAD ulcers:
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-Dime size
-defined edges -pale wound beds -boney prominences, points of contact w/ hard surfaces (typically lateral) |
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_____% of total blood volume resides in the venous system
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75%
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rubor is caused by _______
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collateralization
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Atherosclerosis: characteristics
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-Characterized by lipid deposits in intima of lg/md arteries
-Assoc w/ fibrosis/ calcification -invariably systemic |
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Risk Factors for PAD (10)
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-Age (5th - 6th decade)
-Sex (men > women) -heredity -smoking -HTN -hyperlipidemia -DM (200-400x increase risk) -sedentary lifestyle -obesity -stress |
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The 5 P's of PAD physical assessment:
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Pain
Pulselessness Parasthesia Pallor Poikilothermia |
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Normal aPTT is:
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30-40 sec
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Therapeutic treatment w/ warfarin or herparin aims for _____ (x control)
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1.5-2.5 X control time
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Normal PT is:
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11-12.5 seconds
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Virchow's Triad
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Venous Stasis <----->
Vessel Wall Injury <-----> Hypercoagulability <-----> |
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CVD assessment findings
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-low grade temp (subtle sign)
-dermatitis -hyperpigmentation -warm extremity -pulses present -edema -ulcerations |
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CVD ulcer characteristics
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irregular borders, pink wounds beds, moist, located on medial malleolus, painful
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normal bilateral differences in circumfrance
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Ankle: 1cm
Calf: 2cm |