Peripheral Vascular Disease Megan Mc Clintock Peripheral Artery

Peripheral Vascular Disease Megan Mc. Clintock

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