Chapter 1:Gerontological
Nursing and Promotion of
Healthy Aging
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, What is perfusion? Movement of blood to tissues and organs.
What happens when perfusion is disrupted? Tissues may not receive enough oxygen or nutrients.
What is peripheral perfusion? Adequate arterial blood flow through peripheral tissues.
What is central perfusion? Blood pumped by the heart to oxygenate major organs.
What are pump problems in perfusion? The heart cannot move blood effectively, causing circulation to decrease.
What is a main exemplar of pump problems? Congestive heart failure (CHF).
What occurs in left-sided heart failure? Blood backs up into the lungs, causing pulmonary congestion.
What are common findings in left-sided heart failure? Crackles and shortness of breath.
What occurs in right-sided heart failure? Blood backs up into systemic circulation.
What are common findings in right-sided heart failure? Peripheral edema, jugular vein distension (JVD), and abdominal swelling.
What are important cues for congestive heart failure? Edema, crackles, shortness of breath, fatigue, and activity intolerance.
What are pipe problems in perfusion? Blood flow is physically blocked due to narrowed or blocked vessels.
What is a main exemplar of pipe problems? Peripheral artery disease (PAD).
What happens in peripheral artery disease (PAD)? Arteries narrow, making it difficult for blood to reach tissues, usually affecting the
legs.
What are common cues for peripheral artery disease Cool extremities, weak pulses, pain with walking, and delayed healing.
(PAD)?
What happens in deep vein thrombosis (DVT)? A clot blocks venous blood flow, with a major concern being pulmonary embolism
(PE).