Peripheral Artery Disease vs Peripheral Vascular Disease Peripheral Vascular Disease Signs and Symptoms Signs and Symptoms O2 depleted - poor delivery to LE O2 rich delivery - poor return to heart Pale Red skin Cool Edema Decreases pulses or pulseless Itchy skin Poor hair growth Hardened, contracted skin Oxygen depletion Dull ache in the legs Thick toe nails Warm to touch Dry circular (cutout), non painful wounds with defined edges Wet, painful, draining wounds with irregular edges te n Ve i Ar ry te Stasis Dermatitus - brown discoloring of the legs Pulses are bounding or difficult to palpate d/t edema n Interventions i Ve Intermittent Claudication Ar Gangrene ry Peripheral Artery Disease Interventions Lower extremities in dependent position Elevate lower extremities above heart level Moisturize skin SCDs and TED hose Wound prevention and care Moisturize skin Avoid tight clothes Wound care Extreme cold temperatures Avoid standing or sitting in dependent positions for long periods of time Exercise increases circulation Avoid trauma to limbs Walking is great for this condition Proper foot care (much like diabetes foot care teachings) Walk to the point of pain, then walk further to build activity tolerance Adequate protein, vitamin A, vitamin C, and zinc are essential for wound healing Nutritional therapy - weight loss reduces triglycerides, glucose, A1C, and risk for DMI Maintain normal blood glucose levels in diabetics Medication therapy - ACE inhibitors and Antiplatelet therapy Surgical Interventions NUR 3535 | Adult Health Theory I
