1 / 11

Vascular Disorders Peripheral Arterial Disease of the Lower Extremities

Vascular Disorders Peripheral Arterial Disease of the Lower Extremities. Aortoiliac, femoral, popliteal, tibial, or peroneal arteries Classic symptom: Intermittent Claudication Ischemic muscle ache precipitated by a consistent level of exercise Paresthesia – numbness / tingling in toes & feet

anastasia-sutton
Download Presentation

Vascular Disorders Peripheral Arterial Disease of the Lower Extremities

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Vascular DisordersPeripheral Arterial Disease of the Lower Extremities • Aortoiliac, femoral, popliteal, tibial, or peroneal arteries • Classic symptom: Intermittent Claudication • Ischemic muscle ache precipitated by a consistent level of exercise • Paresthesia – numbness / tingling in toes & feet • Trophic changes: reactive hyperemia dependent rubor • Rest pain – nocturnal

  2. Peripheral Arterial Disease

  3. Peripheral Arterial Disease of the Lower Extremities • Diagnostics: • Non-invasive: Doppler Studies • Invasive: Angiography

  4. Peripheral Arterial Disease of the Lower Extremities • Treatment: • Risk Factor Modification – • HTN – Stepped Approach to Control • Smoking - Cessation • Treatment of hyperlipidemia - Nutrition • Exercise – slow progressive walking • Medication – • Antiplatelet Therapy – Plavix / ASA • < blood viscosity / >erythrocyte flexibility – Trental • < platelet aggregation & promote vasodilation - Pletal

  5. Peripheral Arterial Disease of the Lower Extremities • Critical Limb Ischemia • Interventional Radiology • Percutaneous transluminal balloon angioplasty • Atherectomy • Surgical Revascularization • Endarterectomy • Graft angioplasty • Peripheral artery bypass surgery • End-stage surgery - amputation

  6. Vascular DisordersPeripheral Arterial Disease of the Lower Extremities • Nursing Diagnoses • Ineffective tissue perfusion • Impaired skin integrity • Acute pain • Activity intolerance • Ineffective therapeutic management

  7. Peripheral Arterial Disease of the Lower Extremities • Assess: Peripheral pulses, pallor, blanching, hyperemia, warmth, capillary refill, ability to bear weight and walk, pain, risk factors • Nsg Action: Medication administration, prepare for tests, treatment, surgery, prevent injury, skin care, community referrals • Pt/Family Education: Skin care, Medications, risk factor modification, exercise

  8. Peripheral Vascular DiseaseThromboangiitis ObliteransBuerger’s Disease • Nonathersclerotic, segmental inflammation of arteries, veins & nerves of upper and lower extremities • More common in men 25-40 years of age • Correlates with cigarette smoking • Rest pain, ischemic ulcerations • Tx: smoking cessation / medications – anti-platelets, vasodilators • Surgical: Amputation

  9. Peripheral DiseaseClinical Manifestations

  10. Peripheral Vascular DiseaseTreatment

  11. Peripheral Vascular DiseaseRaynaud’s Phenomenon • Episodic vasospastic disorder of small cutaneous arteries in fingers & toes • Cause: Exaggerated SNS stimulation • Occurs in women 15 -40 years of age • May occur with collagen diseases: RA, scleroderma, systemic lupus erythematosus • Vasospasm Phase: Blanching of hands & fingers with throbbing, aching pain, numbness, tingling • Hyperemic Phase: swelling • Tx: Smoking Cessation, no meds with vasoconstrictive effect; avoid cold; avoid constrictive clothes; Give Calcium-channel blockers

More Related