NURS1027 Lecture Notes - Blood Pressures, Anticoagulant, Peripheral Artery Disease
Document Summary
Peripheral vascular disease: typically affects circulation in lower extremities, affects arteries (pad) or veins (pvd, partial or complete blockage, typically related to atherosclerosis, may lead to stasis ulcers, may result in amputation if severe. Non-modifiable: age (especially 70 +), history of heart disease, diabetes mellitus, family history of hyperlipidemia, uncontrolled, hypertension. Modifiable: coronary vascular disease (cvd), hyperlipidemia (high cholesterol), hypertension, Sedentary lifestyle, smoking or use of tobacco products, obesity. Intermittent claudication: hallmark of the disease: rest pain, paresthesia, dependent rubour; elevation pallor, diminished or absence and unequal pulses in extremities. Complications: prolonged ischemia leads to atrophy of the skin and muscles, ulcer: tips of toes, lateral malleolus, circular, and pale, ulceration (deeper) and possible gangrene. Angiogram: an x-ray of the arteries and veins using dye to detect blockage or narrowing of the vessels. and veins visible on the x-ray. Arm systolic pressure: normal ankle pressure is slightly greater than or equal to brachial pressure, abi 1. 0 to 1. 4.
