1. Peripheral Vascular Disease (arterial)
Created by:
Elizabeth, Tara, Jaelyn, Andrew and Danny

3. Peripheral Vascular Disease (PVD)/ Diagnosis
PVD is circulation disorder within the blood vessels.
Typically occur in peripheral vessels, vessels away from the heart.(Healthline, 2016).
Usually affects upper and lower extremities, the head and stomach.

4. Types of PVD Arterial Venous Leg ulcerations Venous Thromboembolism
Arteriosclerosis
Peripheral arterial occlusive disease
Aneurysm
Arterial embolism
Arterial thrombosis
Leg ulcerations
Venous Thromboembolism
Varicose Veins
Chronic venous insufficiency/ postthrombotic syndrome

5. Signs and Symptoms Venous Arterial Diminished or absent pulse
Pain-Intermittent claudication, constant
Cool-to-cold temperature
Nails thickened and ridged
Skin- dependent Rubor
Observable within 20 seconds to 2 mins after placed in dependent position
Pulse is present
Pain- Aching, cramping
Skin- pigmentation in gaiter area (medial and lateral malleolus)
Thickened and tough, may be reddish- blue (associated with dermatitis)

6. Risk factors
occurs most often in men and is a common cause of disability (Brunner,2013)
High levels of homocysteine
Optimal (< 12 mcmol/L)
Borderline ( mcmol/L)
High risk ( >15 mcmol/L)
Smoking
Diabetes
Obesity (BMI over 30)
High blood pressure
High Cholesterol

7. Treatments Lifestyle Physical activity Walking Medication
Invasive (surgical)
Femoropopliteal bypass graft
Percutaneous transluminal angioplasty or stent placement
Atherectomy
Lifestyle
Diet
Low cholesterol choices
Cessation of smoking
Physical activity
Walking
Leg excercises
Medication
Antiplatelet therapy-
Asprin or clopidogrel

8. Collaborative Care Physical therapy Walking aids
Cardiovascular Surgeons
Depending on severity
Nutritionist/ Dietician
Community Resources

9. What the Prognosis? Early Detection
Most cases respond to lifestyle treatments
Increase effectiveness of treatment
Contact physician if symptoms worsens, if you begin to experience:
Fever, chill, weakness, or other signs of infection
Leg becomes swollen, warm to touch or red
You develop chest pain accompanied by leg pain
New ulcers develop and do not heal (healthline, 2016)

10. Community Resources
Abbot Vascular’s Peripheral Artery Disease (PAD) Awareness Program
Stay in Circulation
Diabetes Institute
Weight Loss program

11. Psychosocial Implications
Caregiver strain from caring for non-compliant spouse has cause tension on the marriage
Patient’s loss of independence from needing help of children to get around
Depression from loss of independence

12. Nursing Diagnosis Actual Diagnosis Risk Diagnosis
Activity intolerance R/T compromised oxygen transport system secondary to peripheral arterial disease as AMB patient having severe pain in his leg when walking.
Goal: The client will progress activity potential by cessation of smoking, increase distance of walks as tolerated, increase skin integrity, and maintain a healthy diet
Risk Diagnosis
Risk for caregiver role strain R/T history of patient non-compliance with physician recommendations
Goals: Care giver will not experience role strain .

13. Question #1 What is Peripheral Vascular Disease?
Circulation disorders within the blood vessels
Skin disorder
Blood in stool
Vision disease

14. Question #2 What is a risk factor of PVD?(select all that apply)
Smoking
Low blood pressure
BMI of 36
High cholesterol
Diabetes

15. Question #3
Why would the patient not realize they have unhealed ulcers on their feet?
Too much pain medication
Dementia
Never takes his shoes off
Decreased peripheral sensation to area

16. Question #4 What are types of PVD?( select all that apply)
Arteriosclerosis
Arterial embolism
Leg ulcerations
Raynaud’s phenomenon
diaphoresis

17. References
Peripheral Vascular Disease. (n.d.). Retrieved March 05, 2016, from Diseasehttps://
Healthline.Peripheral Vascular Disease. Healthline media, Web. 02 Mar
About Peripheral Artery Disease (PAD). (n.d.). Retrieved March 05, 2016, from Artery-Disease-PAD_UCM_301301_Article.jsp#.VtjY9kY9lu4
Porth, Carol. (10/2014). Essentials of Pathophysiology: Concepts of Altered States. [VitalSource Bookself Online]. Retrieved from
Hinkle, Janice L., Cheeve, K. H. (11/2013). Hinkle & Cheever Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 13th Edition [Vital Source Bookshelf Online]. Retrieved from