NURS 3366 Circulation Dz A+) Graded Latest Update
Arterioclerosis and Atherosclerosis different s/s: - ANSWER 1. Arteriosclerosis: Loss of
Elasticity, become hardening and thick. It is Alteration of vasomotor tone.
2. Atherosclerosis is nonpatent lumen
--> a specific type of arteriosclerosis that involves the deposition of plaque-including
fat, cholesterol, calcium, and other substances-within the arterial wall, resulting in
narrowing and obstruction.
Treatment different of Arter and Ather
Arter: can be fixed by adding up more collagen to elasticity to the material.
Arther: this case the excess of LDL- fat cholesterol pile up on the arterial wall --> cause
inflammation and plaque formation. Therefore, Need to use statin to low cholesterol and
should go with healthy diet and exercises.
Ischemic Pain s/s
1. Pulse absent
2. > 2s cap fill
3. Skin pale
4. Healing slow
5. Low urine output
6. Low conscious --> Stoke
risk factor of Ischemic: - ANSWER 1. Genetic, Family, Aging
2. high fat diet (High LDL); alcoholic; Type 2 diabetes (High LDL, cell don't respond to
insulin properly; high Blood Glucose); Smoking (nicotine makes vasoconstriction)
Peripheral Arterial Disease (PAD) s/s - ANSWER the 5 "Ps" (mostly legs)
1. Pain
, 2. Parathesia- numbness
3. Pale skin
4. Pulse absent
5. Poikilo-thermia Cool skin.
Arterial Thromboembolic s/s - ANSWER the 5 "Ps" but In distal areas such as toes and
feet
HYPERTENSION - ANSWER normal <= 120/80
hypo: 90/60
Type:
Secondary (rare)
Primary HTN is most likely (Idiopathic- unknown reason)
1. Atherosclerosis: fatty, stiff, non-patent lumen, high BP
2. Sympathetic Nervous System Overactivity idiopathically, epinephrine flight or fight,
genetic
RAAS hyperactivity: Renin-Agitension2- aldosterone system when low BP, BV --> Kidney
make vasoconstriction to Increase BV, BP by Angiotensin 2
HTN s/s- ANSWER 1. Cardiovascular system: Workload is up on LV
2. Renal system: Neuphron damaged--> hematuria & Protinuria
3. Neurological system: Brain- stroke (high BP, Ischemic pain in narrowed arterials);
Eyes: ischemic and damage retina
Aneurysms s/s - - ANSWER 1. localize dilation and out-punching or ballooning the
arterial walls
2. Effect Brain and Aorta : need MRI, CT, or angiogram to diagnose
how Aneurysm effect brain and aorta? - ANSWER In the brain, an aneurysm is a bulge or
ballooning in a blood vessel that can put pressure on surrounding tissues or nerves.
Brain aneurysms are particularly dangerous due to the fact that they may rupture,
Arterioclerosis and Atherosclerosis different s/s: - ANSWER 1. Arteriosclerosis: Loss of
Elasticity, become hardening and thick. It is Alteration of vasomotor tone.
2. Atherosclerosis is nonpatent lumen
--> a specific type of arteriosclerosis that involves the deposition of plaque-including
fat, cholesterol, calcium, and other substances-within the arterial wall, resulting in
narrowing and obstruction.
Treatment different of Arter and Ather
Arter: can be fixed by adding up more collagen to elasticity to the material.
Arther: this case the excess of LDL- fat cholesterol pile up on the arterial wall --> cause
inflammation and plaque formation. Therefore, Need to use statin to low cholesterol and
should go with healthy diet and exercises.
Ischemic Pain s/s
1. Pulse absent
2. > 2s cap fill
3. Skin pale
4. Healing slow
5. Low urine output
6. Low conscious --> Stoke
risk factor of Ischemic: - ANSWER 1. Genetic, Family, Aging
2. high fat diet (High LDL); alcoholic; Type 2 diabetes (High LDL, cell don't respond to
insulin properly; high Blood Glucose); Smoking (nicotine makes vasoconstriction)
Peripheral Arterial Disease (PAD) s/s - ANSWER the 5 "Ps" (mostly legs)
1. Pain
, 2. Parathesia- numbness
3. Pale skin
4. Pulse absent
5. Poikilo-thermia Cool skin.
Arterial Thromboembolic s/s - ANSWER the 5 "Ps" but In distal areas such as toes and
feet
HYPERTENSION - ANSWER normal <= 120/80
hypo: 90/60
Type:
Secondary (rare)
Primary HTN is most likely (Idiopathic- unknown reason)
1. Atherosclerosis: fatty, stiff, non-patent lumen, high BP
2. Sympathetic Nervous System Overactivity idiopathically, epinephrine flight or fight,
genetic
RAAS hyperactivity: Renin-Agitension2- aldosterone system when low BP, BV --> Kidney
make vasoconstriction to Increase BV, BP by Angiotensin 2
HTN s/s- ANSWER 1. Cardiovascular system: Workload is up on LV
2. Renal system: Neuphron damaged--> hematuria & Protinuria
3. Neurological system: Brain- stroke (high BP, Ischemic pain in narrowed arterials);
Eyes: ischemic and damage retina
Aneurysms s/s - - ANSWER 1. localize dilation and out-punching or ballooning the
arterial walls
2. Effect Brain and Aorta : need MRI, CT, or angiogram to diagnose
how Aneurysm effect brain and aorta? - ANSWER In the brain, an aneurysm is a bulge or
ballooning in a blood vessel that can put pressure on surrounding tissues or nerves.
Brain aneurysms are particularly dangerous due to the fact that they may rupture,
