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Peripheral arterial disease (PAD)
S.P 69 y/o retired painter with right…
Peripheral arterial disease (PAD)
S.P 69 y/o retired painter with right leg calf pain x2 years, aggregated with exercise, relived by rest
Assessment
Vital signs T: 98.4, Pulse: 82, RR-16bpm, BP: 16391,
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Medical Management
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angioplasty, stent graft or atherectomy-less invasive than surgery
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Nursing Diagnosis
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Nrs. Dx 3 Risk for impaired skin integrity r/t compromised circulation and poor nutrition to tissues aeb abnormal ABI score of 0.43 right leg and 0.59 left leg
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Assess for any signs of skin breakdown such as non-blanching skin, redness, swelling, etc to begin early interventions and prevent infection
Educate patient on potential hazards to skin such as harsh chemicals and rough materials that could cause a break in skin
Encourage patient to wear comfortable and padded shoes to avoid skin breakdown from vigorous rubbing of shoe against tissues
Teach patient about the importance of maintaining skin between toes dry to avoid maceration of the skin due to exposure to constant moisture
Discourage patient from shaving legs or taking part in activities that might bring damage or trauma to skin due to the risk of infection from diminished healing
Nrs. Dx 1 Chronic Pain r/t ischemia to peripheral vessels aeb"patient reporting discomfort pain of 7/10"
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Promote activities.exercises that will improve arterial blood flow to peripheral vessels to improve oxygenation and reduce ischemic pain
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Encourage patient to hang extremity below the level of the heart to improve arterial blood flow and reduce ischemic pain
Administer pain medications as ordered as these will facilitate compliance of patient to recommended activities and exercises
Pathopsysiology
risk factors
atherosclerosis, degenerative disease, thrombosis/thrombolytic and vascular inflammation
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