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alcohol, tobacco use, diabetes mellitus, elevated serum lipids, excess of
dietary sodium, obesity, sedentary lifestyle, stress
What is PVD?
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pathological changes that impair blood supply to peripheral tissues,
particularly the lower extremities
• Narrowed peripheral arteries
• Impaired blood supply to peripheral tissues
Sign's and Sx's of DVT?
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asymptomatic, dull aching pain in affected extremity, especially when
walking, tenderness, warmth, erythema along affected vein, cyanosis of
affected extremity, edema of affected extremity
CAD nonmodifiable risk factors?
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age, gender, ethnicity, family hx - genetic predisposition
Tx of PAD?
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, Medications (anticoagulant therapy- streptokinase, urokinase t-PA), surgery
(embolectomy:4-6 hours balloon tipped catheter when in an extremity),
(thromboendartectomy-removal pf thrombus and plaque in the artery)
What is somogyi effect?
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Rebound effect in which overdose of insulin causes hypoglycemia, usually
during hours of sleep, counterregulatory hormones released. Rebound
hyperglycemia and ketosis may occur
Associated with the occurrence of undetected hypoglycemia during sleep
What is a normal BMI?
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18-24
Stress of Elevated BP do to arteries?
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The stress of an elevated BP increases the rate of atherosclerotic
development. This relates to the shearing stress that causes endothelial
injury.
, Reasons for noncompliance of HTN Tx?
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inadequate teaching, side effects, return of normal BP, lack of motivation,
financial, lack of trust
NRML Blood Glucose Levels?
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70-120
What is Chronic Stable Angina?
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Intermittent chest pain that occurs over a long period with the same
pattern of onset, duration, and intensity of symptoms; ST segment
depression and/or T-wave inversion; 5 to 15 minute duration; control with
drugs because it is predictable
• Lack of oxygen and glucose leads to anaerobic metabolism
• Lactic acid irritates nerve fibers → pain in cardiac nerves
Age & CAD
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