Term
|
Definition
Pain
Pallor
Pulselessness
Parathesia
Paralysis |
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Term
| How do you chart the 5 p's? |
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Definition
Color
Warmth
Movement
Sensation
Pulse |
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Term
|
Definition
| Peripheral Arterial Disease (PAD) |
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Term
| What does PAD increase your risk of? |
|
Definition
| mortality, MI, and cerebrovascular disease |
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Term
| What are the symptoms of PAD? |
|
Definition
| Pain (especially intermittent claudication), cool and pale extremities, unequal pulses |
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Term
|
Definition
| Cramping in the affected leg(s) and in the buttocks, thighs, calves, and feet. Symptoms may ease after resting. |
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Term
| What are the symptoms of PAD? |
|
Definition
Weak or absent pulses in the legs or feet
Sores or wounds on the toes, feet, or legs that heal slowly, poorly, or not at all
A pale or bluish color to the skin
A lower temperature in one leg compared to the other leg
Poor nail growth on the toes and decreased hair growth on the legs
Erectile dysfunction, especially among men who have diabetes |
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Term
| What are other forms of PAD? |
|
Definition
Upper extremity arterial occlusive disease
Raynaud’s disease/Reynaud’s phenomenon |
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Term
|
Definition
| a localized out-pouching, sac, or dilation formed at a weak point in the artery wall |
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Term
| What is the most common type of aneurysm? |
|
Definition
|
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Term
| What is the tell tale sign of a ruptured aneurysm? |
|
Definition
| severe back or abdominal pain, which may be persistent or intermittent |
|
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Term
| How is an aneurysm treated? |
|
Definition
|
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Term
| What are risk factors of an aneurysm? |
|
Definition
Male gender.
Age. More likely to occur in people who are aged 65 or older.
Smoking. Smoking can damage and weaken the walls of the aorta.
A family history of aortic aneurysms. May occur before the age of 65.
A history of aneurysms in the arteries of the legs.
Diseases and conditions that weaken the walls of the aorta (HTN and ASCVD)
Bicuspid aortic valve can raise the risk of having a thoracic aortic aneurysm. (instead of the typical three).
Car accidents or trauma also can injure the arteries and increase the risk for aneurysms. |
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Term
| What is the Nursing Management After Surgical Interventions for Aneurysms? |
|
Definition
Vital signs
Recording of intake and output
Bilateral comparison of upper arm blood pressures
Peripheral pulses
Motor and sensory function
Temperature and color of extremities
Capillary refill |
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Term
| What is venous thrombosis linked to? |
|
Definition
Linked to Virchow’s triad:
Stasis of blood
Vessel wall injury
Altered coagulation |
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Term
| What do you need to look for in DVT? |
|
Definition
Careful assessment of the lower extremities is necessary
Preventive measures should be used for patients at risk |
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Term
| What are the risk factors of a DVT? |
|
Definition
Blood-clotting disorder
Prolonged bed rest, such as during a long hospital stay, or paralysis
Injury or surgery
Pregnancy
Birth control pills or hormone replacement therapy
Being overweight or obese
Smoking
Cancer
Heart failure
Inflammatory bowel disease (Crohn's disease or ulcerative colitis)
A personal or family history of DVT or PE
Age (over age 60)
Sitting for long periods of time, such as when driving or flying |
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Term
| How is a DVT medically ,managed? |
|
Definition
Heparin
Low-molecular-weight heparin (LMWH)
Thrombolytic therapy
Oral anticoagulants
Surgery |
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Term
| What is the nursing management of a DVT? |
|
Definition
Monitoring aPTT, prothrombin time (PT), and INR
Compression therapy
Body positioning and exercise
Preventative measures |
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Term
|
Definition
| Abnormally dilated, tortuous, superficial veins caused by incompetent venous valves |
|
|
Term
| What are the surgical treatments of varicose veins? |
|
Definition
Ligation and stripping
Ablation
Sclerotherapy |
|
|
Term
| What does chronic venous insufficiency cause? |
|
Definition
| Swelling, skin color and texture changes, and venous ulcers on the medial malleolous |
|
|
Term
| What are the risk factors for chronic venous insufficiency? |
|
Definition
DVT
Varicose veins or a family history of varicose veins
Obesity
Pregnancy
Inactivity
Smoking
Extended periods of standing or sitting
Female sex
Age over 50 |
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|
Term
| What are vascular ulcers? |
|
Definition
|
|
Term
| What are some treatments for vascular ulcers? |
|
Definition
Débridement
Dressings
Hyperbaric treatment
Compression |
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Term
|
Definition
| An acute inflammation of the lymphatic channels |
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Term
|
Definition
| Swelling in the extremities due to an accumulation of lymph from blocked lymphatic vessels: |
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|
Term
| What is the treatment of lymphedema? |
|
Definition
Treatment is focused on reducing the edema and preventing increased edema, infections, and tissue damage
Active and passive exercises assist in moving lymphatic fluid |
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Term
| What is a possible complication of lymphedema? |
|
Definition
| Cellulitis is a possible complication |
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Term
| What is the care of a mastectomy patient? |
|
Definition
-BP not on affected side
-Reach for recovery
-Elevate affected side and do extension/flexion exercises
-Abduction and external rotation is a NO
-SBE - once a month about one week after period
-To promote a positive self image |
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Term
| What are the risk factors for lymphedema? |
|
Definition
Axillary surgery and/or axillary radiation therapy for breast cancer are at higher risk for developing lymphedema of the arm.
Obesity
Extent of local surgery.
Local radiation (axillary, inguinal, pelvic, or supraclavicular regions).
Delayed wound healing.
Lymphatic obstruction (tumor or scarring)
Exercise does not increase risk of lymphedema onset |
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