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Pheripheral Vascular disease (Clinical manifestations (Leg numbness or…
Pheripheral Vascular disease
Defination
It 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 wont heal
Claudication
Hair loss or slower hair growth on feet and legs
A change in the colour of legs
Shiny skin on legs
Erectile dysfunction in men
No pulse or a weak pulse in legs or feet
Pathophysiology
The most severe clinical manifestation is critical limb ischemia
Which is associated with a risk of limb loss and mortality
Due to blockage of the arteries supplying blood to the lower limbs
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
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Causes
Diabetes
Smoking
Drugs
Emotional stress
Cold temperatures
Operating vibrating machinery or tools
High blood pressure
High cholesterol
Nursing management
Promote vasodilation
Promote and teach skin skin and foot care
Provide proper positioning
Provide care for client undergoing an amputation
Promote activity and mobility
Provide care for a client undergoing angiography or percutaneous transluminal angioplasty
Provide care for a client receiving an autogenous saphenous
Provide care for a client who has received an axillofemoral or axillobifemoral bypass graft or an endaeterectomy
Diagnostic procedures
Ultrasound
Ankle-brachial index(ABI)
Physical exam
Angiography
Blood tests
