Peripheral Vascular Disease

1
Peripheral Vascular Disease

• Megan McClintock

2
Peripheral Artery Disease

• Definition
• Etiology/Pathophysiology
• Signs symptoms
• Complications
• Diagnostic studies
• Treatment

3
PAD Treatment

• Risk factor modification
• Drug therapy
• Exercise therapy
• Nutritional therapy
• Alternative therapy
• Careful care of the ischemic leg
• Interventional radiologic procedures
• Percutaneous transluminal balloon angioplasty
• Stents
• Surgical therapy
• Peripheral arterial bypass
• Endarterectomy
• Patch graft angioplasty
• Amputation

4
PAD Interventions

• Nursing care plan (pg _____)
• Health Promotion
• Risk prevention
• Acute
• Postop care
• Ankle-brachial index measurements
• Avoid knee-flex positions
• Ambulatory/Home Care
• Smoking cessation
• Meticulous foot care

5
Venous Thrombosis

• Definition
• Etiology/Pathophysiology
• Virchows triad
• Venous stasis
• Endothelial damage
• Hypercoagulability of blood
• Signs symptoms
• Superficial thrombophlebitis
• Deep vein thrombosis

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DVT Treatment

• Prevention
• Early mobilization
• TED hose
• ICDs
• Non-pharmacologic therapy
• Drug therapy
• Anticoagulants
• Unfractionated heparin
• Low molecular weight heparin
• Hirudin
• Coumarin compounds
• Surgical therapy

7
Venous Thrombosis Interventions

• Acute
• Prevention of emboli formation
• Reduction of inflammation
• Ambulatory/Home Care
• Smoking cessation
• Avoidance of constrictive garments
• No BCPs or hormones
• Avoid prolonged standing or sitting
• Teach s/s of pulmonary embolism
• Bleeding care

8
Venous Leg Ulcers

• Definition
• Etiology/Pathophysiology
• Signs symptoms
• Treatment
• Compression
• Moist environment dressings
• Nutritional status and intake
• Observation for infection
• Nursing care
• Proper foot and leg care
• Avoiding standing/sitting
• Elevate the legs

9
Pulmonary Embolism

• Definition
• Etiology/Pathophysiology
• Signs symptoms
• Complications
• Diagnostic studies
• Treatment
• Conservative therapy
• Drug therapy
• Surgical therapy