NUR 402 Exam 1 Complete Solutions
what is the main symptom of CAD? ️angina pectoris
what is the main symptom of PAD? ️intermittent claudication
What does PAD involve ️narrowing and degeneration of arteries in extremities
what is major complication that can arise from CAD? ️MI
what...
what is the main symptom of CAD? ✔️angina pectoris
what is the main symptom of PAD? ✔️intermittent claudication
What does PAD involve ✔️narrowing and degeneration of arteries in extremities
what is major complication that can arise from CAD? ✔️MI
what is a complication that can arise from PAD? ✔️nonhealing ulcer
what are risk factors for PAD & CAD? ✔️-SMOKING
-diabetes
-HTN
-obesity
-sedentary lifestyle
what is the most important risk factor to stop? ✔️smoking!
What is an important assessment for PAD? ✔️pulses!
S/S of PAD ✔️-numbness or tingling
-poor peripheral pulses in feet
-thin,shiny skin
-loss of leg hair
-elevation pallor
, -dependent rubor
-"cut out" ulcer
do you want to elevated the feet in PAD? ✔️-NO!!
-this is an arterial problem... meaning that there is not going to be enough O2 perfusing the lower
limbs.. they need as much blood flow as possible
what are S/S of progression in PAD? ✔️-pain at rest
-aggravation by elevation
what is your drug management for PAD? ✔️-statins (simvastatin)
-ACE inhibitors (ramipril)
post op assessment for fem-pop bypass graft ✔️-peripheral pulses
-urinary output
-VS q15min
-monitor for bleeding, compartment syndrome, hematoma
-ensure distal pulse to operative site
S/S of chronic venous insufficiency ✔️-palpation of pulse difficult due to edema
-pulse is present
-irregular ulcer shape
-pallor
-pain
should you elevate the legs in chronic venous insufficiency? ✔️-YES!
-this is not an arterial issue. They are getting good O2 perfusion... They are struggling with the return of
the blood, so help their body out!
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