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Describe peripheral Artery disease Answer: Similar to CAD
Affects legs, stomach, vital organs, head, arms
-Plaque formation in arteries of supplying head, arms, legs, abdomen
-Atherosclerosis
-Most common in leg arteries
Peripheral Artery disease puts patient at increased risk for what (4) Answer: heart disease
MI
stroke
TIA
Signs of Peripheral Artery disease Answer: Pain
numbness
↓ healing
gangrene
Peripheral Arterial disease: Pain Answer: Intermittent claudication (pain caused by too
little blood flow, usually during exercise)
Unrelenting, sharp, constant
Peripheral Arterial disease: Pulses Answer: Absent or ↓
Peripheral Arterial disease: Ulcers Answer: Toes, heels, pressure points
Painful
Peripheral Arterial disease: Edema Answer: Present on dependence
Peripheral venous disease : Pain Answer: Aching
cramping
Peripheral venous disease: Pulses Answer: Present (edema may interfere)
Peripheral venous disease: Ulcers Answer: Medial malleolus
Skin red to blue skin
APPHIA – Crafted with Care and Precision for Academic Excellence. 1
, Peripheral venous disease: Edema Answer: Moderate to severe
Peripheral Vascular Disease (PVD): Health history Answer: Hypertension
Diabets
Peripheral Vascular Disease (PVD): Risk factors (7) Answer: Age
HTN
DM
Smoking
Obesity
↑ Cholesterol
FHHx PVD, MI, CVA
PVD Assessment: Physical Assessment Answer: Color changes
Skin changes and skin breakdown
-Hair loss
-Brittle nails
-Scaling, dry skin
-Atrophy
-Ulcers
PVD Diagnostics Answer: Doppler
-Ankle brachial Index (ABI)
Exercise testing
-Looking for drop in ankle systolic pressure
Duplex Scan
-Assess blood flow and locate stenosis or clots
-CT scan
Volume changes in a compartment
Angiography
-Dye is injected
-CT looks at the vessels
-Verify need for angioplasty
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