NUR 150 EXAM 2 CONTENT WITH 100% CORRECT
ANSWERS!!
Caring legs w/ CLI
Answers:-revascularization via bypass surgery using autogenous vein
-percutaneous transluminal angioplasty
-IV prostanoids
interventional radiology procedures
Answers:-catheter-based
-catheter inserted in femoral artery in all following procedures
-antiplatelet agents given postprocedure to reduce risk of restenosis
Ambulatory care
Answers:-mgmt of RF
-long term antiplatelet
-supervised exercise
-importance of foot care
Acute arterial ischemic disorders
Answers:-sudden stop of arterial blood supply to tissue, organ, extremitiy
-caused by IVDA and bruising
-can result in tissue death if untx
-more frequent: thrombi embolism from heart
-noncardiac causes: aneurysms
6 Ps
,Answers:pain, paralysis, pulselessness, pallor, paresthesia, perishingly cold
Interprofessional care of acute arterial ischemia
Answers:-anticoagulant therapy (long term recommended)
-restore blood flow (remove thrombus) by surgical thrombectomy, PTA,
amputation
Raynaud's phenomenon
Answers:intermittent abnormality in vascularity, blood flow does not flow to
center of hand
-causes: working in cold environments, working with heavy tools, exposure to
heavy metals
Dx; persistent symptoms for 2 years
characteristics of RP
Answers:-white, blue, red colors
-numbness, throbbing, aching, tingling
-several minutes to hours
-prolonged attacks cause thick skin, brittle nails, punctate lesions, gangrenous
ulcers
RP nursing care
Answers:-prevent episodes
-immerse hands in warm water to help decreased vasospasms
Drug therapy: CCBs (relaxes smooth muscles), vasodilators, topical nitroglycerin
-avoid digital ulceration + critical ischemia
, Phlebitis
Answers:-acute inflammation of walls of veins, usually related to an IV or
potassium
-RF: irritation of cath, infusion of irritating drugs, area of flexion
-manis: pain, tenderness, warmth, erythema, swelling
Treatment: remove cath, elevate extremities, warm compression and NSAIDs
Varicose veins
Answers:superficial veins that become dilated from retrograde blood flow
-smoking, age risk factors
-Dx: assessment
-control BP, use CCBs, sclerotherapy
-avoid sitting/standing for long times, maintain ideal weight, deep breathing, avoid
discomfort and complications
CVI
Answers:blood is flowing to lower extremities, cant go back to heart causing a
backup and fluid accumulation (leads to clots)
manis: lower legs, eczema + venous ulcers, exudation
Tx: compression for healing/prevention, get BG normal, moisturize daily
Palliative care
Answers:-indicated when pt is dx with life limiting illness + plan is to improve
quality of life
-reduces the burden of health related suffering
-decreases costs of health care + eases caregiver burden
ANSWERS!!
Caring legs w/ CLI
Answers:-revascularization via bypass surgery using autogenous vein
-percutaneous transluminal angioplasty
-IV prostanoids
interventional radiology procedures
Answers:-catheter-based
-catheter inserted in femoral artery in all following procedures
-antiplatelet agents given postprocedure to reduce risk of restenosis
Ambulatory care
Answers:-mgmt of RF
-long term antiplatelet
-supervised exercise
-importance of foot care
Acute arterial ischemic disorders
Answers:-sudden stop of arterial blood supply to tissue, organ, extremitiy
-caused by IVDA and bruising
-can result in tissue death if untx
-more frequent: thrombi embolism from heart
-noncardiac causes: aneurysms
6 Ps
,Answers:pain, paralysis, pulselessness, pallor, paresthesia, perishingly cold
Interprofessional care of acute arterial ischemia
Answers:-anticoagulant therapy (long term recommended)
-restore blood flow (remove thrombus) by surgical thrombectomy, PTA,
amputation
Raynaud's phenomenon
Answers:intermittent abnormality in vascularity, blood flow does not flow to
center of hand
-causes: working in cold environments, working with heavy tools, exposure to
heavy metals
Dx; persistent symptoms for 2 years
characteristics of RP
Answers:-white, blue, red colors
-numbness, throbbing, aching, tingling
-several minutes to hours
-prolonged attacks cause thick skin, brittle nails, punctate lesions, gangrenous
ulcers
RP nursing care
Answers:-prevent episodes
-immerse hands in warm water to help decreased vasospasms
Drug therapy: CCBs (relaxes smooth muscles), vasodilators, topical nitroglycerin
-avoid digital ulceration + critical ischemia
, Phlebitis
Answers:-acute inflammation of walls of veins, usually related to an IV or
potassium
-RF: irritation of cath, infusion of irritating drugs, area of flexion
-manis: pain, tenderness, warmth, erythema, swelling
Treatment: remove cath, elevate extremities, warm compression and NSAIDs
Varicose veins
Answers:superficial veins that become dilated from retrograde blood flow
-smoking, age risk factors
-Dx: assessment
-control BP, use CCBs, sclerotherapy
-avoid sitting/standing for long times, maintain ideal weight, deep breathing, avoid
discomfort and complications
CVI
Answers:blood is flowing to lower extremities, cant go back to heart causing a
backup and fluid accumulation (leads to clots)
manis: lower legs, eczema + venous ulcers, exudation
Tx: compression for healing/prevention, get BG normal, moisturize daily
Palliative care
Answers:-indicated when pt is dx with life limiting illness + plan is to improve
quality of life
-reduces the burden of health related suffering
-decreases costs of health care + eases caregiver burden
