Download - Peripheral Vascular Diseases
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PERIPHERAL VASCULAR DISEASES
Presented by: Dave Jay Sibi. Manriquez RN.
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THROMBOANGITIS OBLITERANS (BUERGER’S DISEASE)
Definition : Diffuse inflammation of arteries and veins with clot formation.
Etiology : unknown
Risk : cigarette smoking, genetic, males
S/ Sx. : intermittent claudication, edema ulceration, and gangrene
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Management:
Arrest progress of the dse.Produce vasodilationRelieve painProvide emotional supportWound care Amputation
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Raynaud’s disease
Definition : vasospasm causing ischemia
Etiology : unknown; related to release of serotonin, hypersensitivity to
cold
Risk : cigarette smoking, congenital, women
S/ Sx. : numbness of fingertips, pallor, CRT, cyanosis, ulceration
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Management:
Promote vasodilationAvoid exposure to coldsStop smokingsympathectomy
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VARICOSE VEINS
Definition : incompetent valve of the vein in the lower extremities
Risk : prolonged standing, pregnancy, trauma
Dx test : doppler test, trendelenburg test. phlethysmography
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VARICOSE VEINS
S/ Sx. : edema, venous distention, stasis ulcer( medial aspect), muscle cramps, heaviness,
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Management:
SclerotherapyVenous strippingVenous ligationElastic compressionElevate extremitiesLeg exercise
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DEEP VEIN THROMBOSIS
Definition :clot in an inflammed vein
Risk : Virchow’s Triad
Dx exam : venography, UTZ
S/ Sx. : swollen limb, + homans sign, calf stiffness, induration of the vein
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Management:
Thrombolytic therapyAnticoagulant therapyProper leg positioningProvide comfortPrevent complicationAvoid green leafy vegetables
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THANK YOU!!!