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
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Stasis Dermatitus - brown discoloring of the legs
Pulses are bounding or difficult to palpate d/t edema
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Interventions
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Intermittent Claudication
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Gangrene
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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
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