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Chapter 20-Lymphatics
Lymphatics
29
Nursing
Undergraduate 3
10/07/2010

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Term
Are veins high pressure or low pressure systems?
Definition
Low pressure.
Term
How does breathing, walking, and valves help the venous system pump blood?
Definition
Skeltal muscles milk blood back to the heart, breathing creates a pressure gradient, and valves only allow one way access.
Term
Why are veins called capicitance vessels?
Definition
Because of their ability to stretch.
Term
What is the purpose of the lymphatic system?
Definition
TO retreieve excess fluid from tissue spaces and return it to the blodd stream.
Term
Why are you the right lymphatic duct empty into?
Definition
Right subclavian vein.
Term
What is the purpose of the right lymphatic duct?
Definition
To drain the right head, neck, arm, right lung, heart, liver.
Term
What is the purpose of the thoracic duct?
Definition
To drain the rest of the body.
Term
Where does you thoracic duct empty into?
Definition
It drains into the left subclavian vein.
Term
What system is responsible for conserving fluid and plasma proteins?
Definition
The lymphatic system
Term
what system is a response for absorbing lipids from the intestinal duct?
Definition
the lymphatic system.
Term
What is the purpose of the epitrochlear nodes?
Definition
To drain the AC, hand and lower arm.
Term
What organ destroys old red blood cells, makes antibodies, store new red blood cells, and filterS microorganisms from blood?
Definition
The spleen.
Term
What is the function of the thymus in an adult?
Definition
serves no function.
Term
What does lymphoid tissue reach adult size?
Definition
Six years of age.
Term
Describe lymphoid tissue at birth, and describe tissue at age 10 to 11 years?
Definition
Well-developed birth and grows rapidly until 10 to 11 years.
Term
Define arteriosclerosis and how is it different from atherosclerosis?
Definition
Arteriosclerosis is the hardening of arteries while atherosclerosis is the deposition of fatty plaques.
Term
Define Leriche's syndrome?
Definition
Impotence associated with aortoiliac occlusion.
Term
If bilateral edema occurs what is it to you about the etioology of the problem?
Definition
Problem is systemic i.e. heart failure if its unilateral its a local obstruction.
Term
How long should capillary refill take, if it's longer?
Definition
1 to 2 seconds longer indicates vasoconstriction or decreased cardiac output.
Term
Describe how to perform the modified Alan test?
Definition
Occlude the radial and ulnar artery, have the person make a fist, observe blanching while holding radial(thumb artery), and see refill in 1-2 seconds.
Term
When looking at leg why do you see brown discoloration?
Definition
It occurs with chronic venous stasis due to red blood cell degradation, hemosdiereing deposits.
Term
How do you perform the manual compression test?
Definition
while the person is standing, occlude the vericose vein, if valves are good then you will feel no change, if incompentent valves you will feeel a pressure wave.
Term
When looking at the legs, why do you perform the color change test?
Definition
This checks for arterial deficit.
Term
How do you perform the color change test (part 1)?
Definition
While supine, raise legs 1 foot, wag feet for 30 seconds, remaining color is his only arterial blood, should be pink but if pale, insufficiency occurs.
Term
How do you perform the color change test (part 2)?
Definition
Slide your legs over the side of the table and look into the note time for color change, should take 10 seconds or less.
Term
What is the significance of full bounding pulses in an infant?
Definition
PDA d/t L-R shunt.
Term
Describe the dorsallis pedis and posterior tibial pulses in the aging adult?
Definition
Get harder to find.
Term
Define Raynaud's phenomenon?
Definition
Episodes of abrupt progressive (red, white, blue) color change.
Term
Describe order of color change, in sequence, of raynaud's phenomenon?
Definition
White (arteriospasm leading to insufficenicy), blue(cyanosis), red (return of blood).
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