Peripheral Vascular Disease Megan McClintock

Peripheral Artery Disease Definition Etiology/Pathophysiology Signs & symptoms Complications Diagnostic studies Treatment

PAD Treatment Risk factor modification Drug therapy Exercise therapy Nutritional therapy Alternative therapy Careful care of the ischemic leg Interventional radiologic procedures –Percutaneous transluminal balloon angioplasty –Stents Surgical therapy –Peripheral arterial bypass –Endarterectomy –Patch graft angioplasty –Amputation

PAD Interventions Nursing care plan (pg _____) Health Promotion –Risk prevention Acute –Postop care –Ankle-brachial index measurements –Avoid knee-flex positions Ambulatory/Home Care –Smoking cessation –Meticulous foot care

Venous Thrombosis Definition Etiology/Pathophysiology –Virchow’s triad Venous stasis Endothelial damage Hypercoagulability of blood Signs & symptoms –Superficial thrombophlebitis –Deep vein thrombosis

DVT Treatment Prevention –Early mobilization –TED hose –ICDs Non-pharmacologic therapy Drug therapy –Anticoagulants Unfractionated heparin Low molecular weight heparin Hirudin Coumarin compounds Surgical therapy

Venous Thrombosis Interventions Acute –Prevention of emboli formation –Reduction of inflammation Ambulatory/Home Care –Smoking cessation –Avoidance of constrictive garments –No BCPs or hormones –Avoid prolonged standing or sitting –Teach s/s of pulmonary embolism –Bleeding care

Venous Leg Ulcers Definition Etiology/Pathophysiology Signs & symptoms Treatment –Compression –Moist environment dressings –Nutritional status and intake –Observation for infection Nursing care –Proper foot and leg care –Avoiding standing/sitting –Elevate the legs

Pulmonary Embolism Definition Etiology/Pathophysiology Signs & symptoms Complications Diagnostic studies Treatment –Conservative therapy –Drug therapy –Surgical therapy