Assessment
What should you inspect for during a PV assessment?
skin integrity, color, texture, hair distribution, superficial veins and edema, fingernails
Where are ulcers typically with arterial insufficiency?
ArTerial - A circle, Toes
Where are venous ulcers typically?
Venous - "Varied", ankles
what is claudication?
pain with walking - hallmark of arterial insufficiency
What does the acronym CMST stand for r/t palpation during a PV assessment?
circulation
movement
sensation
temperature
What temp are extremities with arterial insufficiency?
cool or cold (poikilothermia)
What temp are extremities with venous insufficiency?
warm
what is the desired time for cap. refill
<3 seconds
What are the 6 Ps of limb ischemia?
pallor
pain
paresthesia
paralysis
pulselessness
poikilothermia
How to decrease pain with arterial insufficiency?
rest
How to decrease pain with venous insufficiency?
elevation or activity
What diet might you see for a pt with BLE edema?
Low sodium
Degrees of Edema
absent or none noted
non pitting
1 = 2mm
2 = 4mm
3 = 6mm
4 = 8mm
What color are extremities with arterial insufficiency?
What color are extremities with venous insufficiency?
pink to cyanotic, brown pigment at ankles, brawny
How do you assess for sensation?
Distally working proximally