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PAD vs PVD worksheet

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PAD vs. PVD
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By purchasing this material, you agree to the following terms and conditions: you agree that this ebook and all other media produced by
NurseInTheMaking LLC are simply guides and should not be used over and above your course material and teacher instruction in nursing school.
When details contained within these guides and other media differ, you will defer to your nursing school’s faculty/staff instruction. Hospitals and
universities may differ on lab values; you will defer to your hospital or nursing school’s faculty/staff instruction. These guides and other media
created by NurseInTheMaking LLC are not intended to be used as medical advice or clinical practice; they are for educational use only. You also agree
to not distribute or share these materials under any circumstances; they are for personal use only.
© 2021 NurseInTheMaking LLC. All content is property of NurseInTheMaking LLC and www.anurseinthemaking.com. Replication and distribution of
this material is prohibited by law. All digital products (PDF files, ebooks, resources, and all online content) are subject to copyright protection. Each
product sold is licensed to an individual user and customers are not allowed to distribute, copy, share, or transfer the products to
any other individual or entity, they are for personal use only. Fines of up to $10,000 may apply and individuals will be reported to
the BRN and their school of nursing.
PERIPHERAL VASCULAR DISEASE
is an umbrella term for...
PERIPHERAL
VENOUS DISEASE
(PVD)
PERIPHERAL
ARTERIAL DISEASE
(PAD)
Narrow artery (atherosclerosis) where
oxygenated blood can’t get to the
distal extremities (hands & feet).
Deoxygenated blood
can’t get back to the heart.
Pooling of oxygenated blood
in the extremities.
Dull, constant, achy pain!
Pulse ?
May not be palpable
due to edema
Edema ?
TE
AR
x
po
of boling
lood
ART
RY
IN
VE
VEI
N
Ischemia & necrosis
of the extremities
ER
Y
pain ?
Think
“BAD”
Sharp pain: Gets worse at night
“rest pain”
pain ?
x
lood
no bo O 2
n
Intermittent claudication
Pulse ?
Very poor or even absent
Edema ?
Blood
is POOLING
the leg
No blood
in theinextremities
No blood in the extremities
Temp ?
Warm legs
(Blood is warm)
Temp ?
Cool No blood = cool leg
Color ?
Stasis dermatitis
(Brown/yellow)
Color ?
Pale, hairless, dry, scaly, thin skin
due to lack of nutrients (↓ O2 )
Wounds ?
Venous STASIS ulcers,
Irregular shaped wounds, shallow
Wounds ?
Regular in shape, red sores
round appearance “punched out”
Gangrene ?
Elevate
Veins
Tissue death caused by
a lack of blood supply
Gangrene ?
We have too much blood! Gangrene is
caused by insufficient amounts of blood.
Positioning ?
(blood is warm)
Positioning ?
Positions that make it worse: dangling,
sitting/standing for long periods of time
Dangle arteries
CAUSES OF BOTH
Smoking • Diabetes • High cholesterol • Hypertension
DX: Doppler Ultrasound or Ankle Brachial Index (ABI)
TREAMENT
• Elevate
KEEP VEIN OPEN!
Veins
• Medications
- Aspirin or Clopidogrel
- Cholesterol lowering drugs “statin”
• Surgery
- Angioplasty
TREAMENT
A
GET BLOOD MOVING!
• D ngle Arteries
(Dependent position)
• Perform daily skin care with moisturizer
• Stop smoking
• Avoid tight clothing (vasoconstriction)
• No heating pads!
• Medications
- Bypass (CABG)
- Vasodilators
- Endarterectomy
- Antiplatelets
R
YOU
TEST EDGE!
L
)
W
KNO EATING :
H
C
O
N
PERIPHERAL VASCULAR DISEASE WORKSHEET
PERIPHERAL
VENOUS DISEASE
(PVD)
is an umbrella term for...
po
of boling
lood
Pulse ?
Edema ?
ART
RY
IN
VE
VEI
N
Ischemia & necrosis
of the extremities
ER
Y
TE
AR
x
pain ?
pain ?
x
lood
no bo O 2
n
Pulse ?
Edema ?
No blood in the extremities
Temp ?
Temp ?
Color ?
Color ?
Wounds ?
Wounds ?
Gangrene ?
Gangrene ?
Positioning ?
Positioning ?
CAUSES OF BOTH
Smoking • Diabetes • High cholesterol • Hypertension
DX:
TREAMENT
TREAMENT
• Position
• Position
• Medications
• Perform
• Stop
• Avoid
• Surgery
Think
“BAD”
Narrow artery (atherosclerosis) where
oxygenated blood can’t get to the
distal extremities (hands & feet).
Deoxygenated blood
can’t get back to the heart.
Pooling of oxygenated blood
in the extremities.
PERIPHERAL
ARTERIAL DISEASE
(PAD)
• No
• Medications
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By purchasing this material, you agree to the following terms and conditions: you agree that this ebook and all other media produced by
NurseInTheMaking LLC are simply guides and should not be used over and above your course material and teacher instruction in nursing
school. When details contained within these guides and other media differ, you will defer to your nursing school’s faculty/staff instruction.
Hospitals and universities may differ on lab values; you will defer to your hospital or nursing school’s faculty/staff instruction. These
guides and other media created by NurseInTheMaking LLC are not intended to be used as medical advice or clinical practice; they are for
educational use only. You also agree to not distribute or share these materials under any circumstances; they are for personal use only.
© 2021 NurseInTheMaking LLC. All content is property of NurseInTheMaking LLC and www.anurseinthemaking.com. Replication and
distribution of this material is prohibited by law. All digital products (PDF files, ebooks, resources, and all online content) are subject to
copyright protection. Each product sold is licensed to an individual user and customers are not allowed to distribute, copy, share,
or transfer the products to any other individual or entity, they are for personal use only. Fines of up to $10,000 may apply and
individuals will be reported to the BRN and their school of nursing.
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