Assessment Findings
A wound for this vascular disorder will be a defined circular shape, pale wound bed, no granulation tissue, and NO drainage.
What are arterial wounds?
This vascular disorder causes shinny, hairless legs.
What is peripheral arterial disease?
What else? Think of the P's that this disorder will display. Remember the red rubor!
This medication could potentially cause this side effect...
(abdominal pain, coffee-ground emesis; black, tarry stools)
What are antiplatelet medications such as aspirin and clopidogrel?
Remember you must monitor your patient for potentially signs of bleeding.
This peripheral vascular disorder finds relief when the extremity is elevated.
What is a peripheral venous disorder?
This is an emergency and the provider should be contacted immediately!
What is acute arterial occlusion?
1. ASSESS for PAIN 5. ASSESS for PARETHESIA
2. ASSESS for PALLOR PARALYSIS IS A LATE SIGN
3. ASSESS for POLAR
4. ASSESS for PULSLESSNESS
Dependent rubor of the bilateral lower extremities...
What is peripheral arterial disease?
This peripheral vascular disorder causes wounds that are irregularly shaped with DRAINAGE.
What are peripheral venous disorders?
The nurse knows to teach the client to check with the provider before using herbal medication as they could lead to further bleeding with what type of medication?
What is antiplatelet medication?
*Many of the herbal medications increase the client's risk for bleeding. It is important that the nurse identifies any herbal medications a patient may be taking in addition to their antiplatelet medication.
At the risk of causing a burn injury a nurse should never do this.
What is use a heating pad?
This will reroute the circulation around the arterial occlusion.
What is arterial revascularization surgery?
AKA bypass surgery
The disorder the pulse will be diminished or absent if severe.
What is peripheral arterial disease?
The nurse knows these are signs of acute arterial occlusion.
What is Pain, Pallor, Pulselessness, Polar, Paresthesia, Paralysis ?
This medication can cause rhabdomyolysis (sign is muscle pain and weakness) which is a breakdown of muscular tissue.
What are statins?
simvastatin
atorvastatin
lovastatin
It is important for a nurse to teach a patient this to a patient with peripheral vascular disease.
What is proper foot care, wearing shoes that fit, never walk in bare feet, seek a podiatrist, inspect the bottom of the feet with mirrors.
The nurse knows that to educate the client with this information following revascularization surgery.
What is...
Limit bending of the hip and knee to decrease risk of clot formation
Avoid crossing legs or raising above heart level
Avoid smoking and cold temperatures
Perform meticulous foot care (keep clean, dry, wear good-fitting shoes, never go barefoot, etc.)
This disorder the client will have swelling and brownish discoloration (hemosiderosis).
What is a venous insufficiency or venous disorders?
This type of Peripheral vascular disorder can result in necrotic tissue.
What is PAD?
This medication class is a cholesterol lowering agent.
What are statins?
The nurse should teach the client to avoid using this to prevent injury.
What is using a heating pad?
This could result in a burn injury as a client has a reduced sensation with PAD.
Increased skin pigmentation because of poor venous return there is extravasation of red blood cells let leaves a deposit on the skin.
What is hemosiderosis?
This vascular disorder causes defined circular wounds with pale wound beds and no drainage.
What is an arterial disorder?
With a patient will have pain in a muscle group during time of activity.
What is in intermittent claudication?
This medication prevents platelets aggregation.
What is antiplatelet medication?
* Review the examples again!
*Remember they increase a patient's risk for bleeding!
The nurse knows to teach a client with peripheral arterial disease these items.
What is...
Have the client wear insulated socks.
Tell the client never to apply heat directly.
Avoid cold exposure
Avoid stress, caffeine and nicotine.
Avoid wearing compression stocking on this client.
What is peripheral arterial disease patient?