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SUM '20 - Health Assessment > PVD highlights LF > Flashcards

Flashcards in PVD highlights LF Deck (37)
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1

explain functional PVD

it is not from physical problems. short term spasms that occur erratically.

2

what are the 4 most common causes of functional PVD

emotional stress
smoking
cold temperatures
operating vibrating machinery or tools

3

explain Organic PVD

physical changes that can affect the structure of blood vessels.

ie: atherosclerosis can cause plaque build up

4

Organic PVD causes what three things

inflammation, tissue damage, and blockage.

5

name 4 primary causes of Organic PVD

smoking
high BP
diabetes
high cholesterol

6

name 4 additional causes of organic PVD

injury to extremities
muscles or ligaments with abnormal structures
infection
coronary artery disease

7

arterial insufficiency
pulse
edema?
pain?
temp?
color
skin condition

decreased pulse
no edema
severe pain (ischemia or anginal pain)
temp cool
color pale-elevated
dusky red -dependent
skin atrophic - slow wound healing

8

a diabetic patient may be difficult to determine PAD due to what condition

neuropathy. but always consider PAD in the diabetic patient

9

venous insufficiency
pulses
color
temperature
skin-
pain

pooling of blood distal area
normal pulses
color is cyanotic on dependence
temperature is normal or warm
skin is thickened, hyperpigmented
pain is minimal
swelling is increased in the evening
elevation is mechanical and helps pooling

10

the two most often presenting chief complaints for PV disease are

Leg pain

Swelling

11

what is the most important modifiable risk for PVD

smoking. as it creates inflammation and oxygen stress. smoking is responsible for 11 % of cardiovascular deaths

12

what is the main cause of PVD

atherosclerosis is the main cause of PVD

13

risk for peripheral arterial disease

smoker
over 50
obese BMI and distribution
HLD
diabetes (duration and intensity)
race (AA, american indians, mexican americans)
decrease in asians

14

women post menopause have and increased risk of

increase risk of PAD

15

how many PVD patients are without symptoms

half

16

lower extremity PAD is indicative of what

widespread PAD

17

which type of obesity shape has increased pressure on the cardiovascular system

apple

18

raynauds is associated with

smoking, women, exposure to cold, emotional upset

19

what type of disorder is raynauds

constrictive

20

if patient is lying down and has leg pain at rest what will relieve it

dangling legs over the side of ht bed- arterial insufficiency

21

can pregnancies increase risk for PVD

yes

22

grading pulses
0
1
2
3

0 = absent or not able to palpate
+1 diminished or weaker than expected
+2 brisk, expected or normal (try not to use normal in any description)
+3 bounding

23

from aorta to ankle- what sides of the body can PVD be found?

it can be found asymmetrically or symmetrically

24

it is said that the size of the LDL particles make a different to the disease process- which size is more problematic

small LDL particles

25

what is the main concern if a patient has a dvt

LIFE threatening pulmonary embolism

26

what type of patients do we more often see a DVT in

prolonged inactivity (traveling)
prolonged bedrest after surgery

27

what symptoms would be associated with a dvt

symptoms may be absent

swelling, tenderness, pain at rest and with compression, and raised vein pattern

28

varicose veins are the result of what type of vascular

incompetent valves that allow for blood to pool.

29

what are associated symptoms with varicose veins

bruising and sensations of burning or aching.

30

what three situations can intensify varicose veins

pregnancy, obesity, and extended periods of standing