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16 Cards in this Set

  • Front
  • Back
2 components of the venous circulation of the lower extermities
superficial veins.... deep venous channel
venous valves
prevent the retrograde flow of blood
varicose veins
dilated or toruous veins that result from a sustainal increase in pressue that causes the venous valves to become incompetent allowing for reflux of blood and vein engorement
primary varicose veins
originate in symhnos vein
second varicose veins
impaired flow
S&S of chronic venous insufficient
edema (pitty edema), pain, heavy discomfort
relieve with walking or with wearing compression stockings
-skin changes purple reddish brownish
preferal artery disease
-edema (very minimal limited or absent)
-complain of pain when walking or excersing
-goes when rest
-build up of lactic acid
-skin will be pale, loss of hair, cool to touch
-noctarnal pain relived legs of bed
Chronic venous insufficient
polses are normal but hard to located
-ulcers medial around ankle
PAD preferal artery disease
decreased or absent past of occlusion
-wounds form toes, foot distal heel
Risk factors for venous thrombosis
-venous stasis
bed rest
immobility
venous obstruction
Risk factors for venous thrombosis
-hyperreativity of blood coagulation
pregnancy child birth oral contraceptive use
-DEHYDRATION
Risk factors for venous thrombosis
-Vascular trauma
surgery massive trauma or infection
-fractured hip
Treatment of venous thrombosis
elevation of the legs
-bed rest
-anticoagulation
-heparin: prevent clotting
-warfarin: oral at home for 6 months
Treatment of varicose veins
elastic support stockings
-sclerothearpy
---- involves the injection of sclerosing agent into the collapsed superficial veins to produce fibrosis of the vessel lumen
---surgical treatment consists of removing the varicositres perforating veins
chronic venous insufficiency signs and symptoms
tissue congestion
-edema
-skin a troph
-brown pigmentation of skin
-impaired tissue nutrition causes stasis dermtitis and the development of stasis or venous ulcers
venous thrombosis
-presence of a thrombus in vein and the accompanying inflammatory response in the vessel wall
-can develop in superficial or deep veins
-DVT most common in the lower extremities