Please enable JavaScript.
Coggle requires JavaScript to display documents.
Pheripheral vascular disease (Clinical manifestations (Leg numbness or…
Pheripheral vascular disease
Defination
Peripheral vascular disease (PVD) is a blood circulation disorder that causes the blood vessels outside of your heart and brain to narrow, block, or spasm.
Clinical manifestations
Leg numbness or weakness
Sores on your toes, feet or legs that won't heal
Claudication
Hair loss or slower hair growth on your feet and legs
A change in the color of your legs
Shiny skin on your legs
Erectile dysfunction in men
No pulse or a weak pulse in your legs or feet
Causes
Emotional stress
Cold temperatures
Drugs
Operating vibrating machinery or tools
Smoking
High blood pressure
Diabetes
High cholesterol
Pathophysiology
Due to the blockage of the arteries supplying blood to the lower limbs
The most severe clinical manifestation of PAD is critical limb ischemia
which is associated with a risk of limb loss and mortality
Treatment
High blood pressure medications
Statin to reduce risk of heart attack and stroke
Keep risk factors such as diabetes under control
Anticoagulant medications
Quit smoking
Pentoxifylline (Pentoxyl, Trental)
Healthy diet
Diagnostic procedure
Ultrasound
Ankle-brachial index (ABI)
Physical exam
Angiography
Blood tests
nursing management
Provide proper positioning
Promote activity and mobility.
Promote vasodilation
Provide care for a client undergoing angiography or percutaneous transluminal angioplasty
Provide care for a client receiving an autogenous saphenous vein or a synthetic bypass graft
Provide care for a client who has received an axillofemoral or axillobifemoral bypass graft or an endarterectomy
Promote and teach skin and foot care
Provide care for client undergoing an amputation
Image
