NU 155 EXAM 3 SCRIPT COMPLETE ANSWERS GRADED A+
◉ buergers disease: Tx
Answer: -avoid cold & anything that restricts blood flow
-manage s/s & prevent progression to gangrene/amputation
-smoking cessation
◉ Reynaud's Disease
Answer: -characterized by venous spasms in the hands, feet, tip of nose
-causes discoloration
◉ Varicose veins
Answer: -weak vessel walls
-affects BLE (both legs)
-vessels dilate & get engorged w/ blood
,◉ reynaud's disease: Tx
Answer: -Ca Channel blcokers ***
-phosphodiesterase inhibitors
-possible amputation if gangrene & severe ischemia
-transdermal nitro ***
-IV prostaglandins **
-avoid cold; stress; smoking ***
◉ varicose veins: tx
Answer: -weight reduction/lifestyle management
-laser or sclerotherapy
-avoid prolonged sitting/standing; dont cross legs
-support stockings/avoid restrictive clothing
, ◉ DVT risk factors
Answer: -smoking
-oral contraceptives
-prolonged immobility
-surgery in age 40+
-obesity/leg trauma i.e. casts
◉ DVT Tx
Answer: -elevation of legs/ monitor for PE
-anticoagulants/thrombolytic therapy
-surgery (thrombectomy) if unable to take blood thinners
-warm compresses
-bedrest (possible)
◉ systemic infection s/s
◉ buergers disease: Tx
Answer: -avoid cold & anything that restricts blood flow
-manage s/s & prevent progression to gangrene/amputation
-smoking cessation
◉ Reynaud's Disease
Answer: -characterized by venous spasms in the hands, feet, tip of nose
-causes discoloration
◉ Varicose veins
Answer: -weak vessel walls
-affects BLE (both legs)
-vessels dilate & get engorged w/ blood
,◉ reynaud's disease: Tx
Answer: -Ca Channel blcokers ***
-phosphodiesterase inhibitors
-possible amputation if gangrene & severe ischemia
-transdermal nitro ***
-IV prostaglandins **
-avoid cold; stress; smoking ***
◉ varicose veins: tx
Answer: -weight reduction/lifestyle management
-laser or sclerotherapy
-avoid prolonged sitting/standing; dont cross legs
-support stockings/avoid restrictive clothing
, ◉ DVT risk factors
Answer: -smoking
-oral contraceptives
-prolonged immobility
-surgery in age 40+
-obesity/leg trauma i.e. casts
◉ DVT Tx
Answer: -elevation of legs/ monitor for PE
-anticoagulants/thrombolytic therapy
-surgery (thrombectomy) if unable to take blood thinners
-warm compresses
-bedrest (possible)
◉ systemic infection s/s
