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Adults med-surg 1 cardiac

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Leg injury of surgery injury or surgery that blocks the flow of blood through a vein can increase pressure Excess weight or weight gain The added weight of pregnancy or obesity can increase pressure in the veins of the legs and damage the veins and valves Standing or sitting for too long Prolonged periods without walking can decrease the movement of blood out of the legs and lead to increased pressure in the veins and pooling of blood -- thats because the muscles in the legs play an important role in circulation of blood, acting like a pump to move blood from the legs back to the heart. Signs and symptoms of VI - less pain than arterial disease - brawy skin discoloration (reddish brown) - edema (improves with elevation) - warm skin - itching/stasis dermatitis -stasis ulcers -veins visible (or not) Diagnostics of VI - venous dopller to rule out DVT - otherwise no tests - clinical diagnosis of exclusion VI treatment - no oral medication has yet been proven useful for the treatment of venous disease - graduated compression - surgery reserved for those with discomfort or ulcers refractory to medical management VI: Chronic disease - dialated (or swollen) vein

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Adults med-surg 1 cardiac


Types of PVD (peripheral vascular disease)

- Arterial occlusive disease

- Venous Insufficency



Arterial Occlusive Disease

A common circulation problem; arteries that carry blood to the legs or arms becomenarrow and get
clogged



Main cause of AOD

Atherosclerosis



Risk factors of AOD

- smoking

- diabetes

- BMI over 30

- high blood pressure 140/90

- increasing age

- family history



Effects of AOD

It is 6-7 times of a greater risk of a heart attack and stroke



Symptoms of AOD

- intermittent claudication

- painful cramping in hip, thigh or calf muscles after activity

- leg numbness or weakness

- coldness in your lower leg or foot especially with comparison

,- hair loss or slower hair growth on your feet/legs

- slower growth of toenails

- shiny skin on legs

- weak or absent pulse in legs or feet

- ED in men



Treatment of AOD

non-surgical, lifestyle changes

medications:

- Cholesterol lowering agents

- BP medication



Diagnostic tests: AOD

Ankle- Brachial Index

Doppler ultrasound

Angiography



PCD surgical treatments

- Angioplasty

- Endarterectomy

- Stenting

- Surgical bypass



Venous Insufficency

- caused by incompetent or obstructed veins

= most common cause of lower extremity swelling



Risk factors of VI

age

, obesity

trauma

history of DVT/phlebitis

surgical complications (orthopedic)

tight fitting garments

prolonged sitting or standing

family history



How it works:VI

A clot will block blood flow through the vein and cause pressure to build up




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Leg injury of surgery

injury or surgery that blocks the flow of blood through a vein can increase pressure



Excess weight or weight gain

The added weight of pregnancy or obesity can increase pressure in the veins of the legs and damage the
veins and valves



Standing or sitting for too long

Prolonged periods without walking can decrease the movement of blood out of the legs and lead to
increased pressure in the veins and pooling of blood -- thats because the muscles in the legs play an
important role in circulation of blood, acting like a pump to move blood from the legs back to the heart.



Signs and symptoms of VI

- less pain than arterial disease

- brawy skin discoloration (reddish brown)

- edema (improves with elevation)

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