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7 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Where is PAD seen most? |
In males, in Hispanics and AAs, in age 80 and older (40%) In Coronary, Carotid, and Renal arteries |
Which gender, which races, which ages, which arteries? |
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Symptoms of PAD |
Diminished or absent pulses - check symmetrically Intermittent claudication - PAIN Skin changes: cool or cold, hairless, shiny, dry, pallor when elevated, reddish or bluish when dangling |
PAD |
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PAD treatment? |
Stop smoking Pain management with Neural pain meds: gaba, antidepressants, SSRIs,, Tegretol, Elevil (old antidepressant) Manage co-morbidities (weight, DM) MOVE Structured exercise - walk until moderate to max claudication occurs, 2) then rest and repeat, 3) at least 30 mins 3x/ wk for minimum of 12 weeks (silver sneakers) Antiplatelet meds Statins Vasodilator - cilostazol, (can’t use in HF pts), lots of drug interactions Minimize symptoms: keep extremities warm, avoid stasis, constructive clothing, podiatrist, foot inspection |
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Increased risk for? |
Infection and progressive amputation Provide prompt treatment for even smallest skin breakage |
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Arterial wound characteristics |
No edema, usually Well demarcated borders Eschar (black) Very painful Pale or gray base Minimal drainage |
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PAD Revascularization |
When claudication impairs q of life Endovascular: angioplasty (pushes plaque out), stents (hold arteries open after plasty) Atherectomy - removes plaque
Surgical: bypass - from femoral to popliteal. This is usually not more than a temp fix. Can cause lots of pain because of rapid reperfusion of tissues (as with frostbite). |
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Post-Revascularization procedure: Assessment & Interventions |
Temp, cap refill, pain intensity Color, pulses, mobility Reposition frequently Keep linens off legs |
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