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Nurs 228 Chapter 21

Health Assessment in Nursing: Peripheral Vascular

QuestionAnswer
What is intermittent claudication, are what is it manifested by? Acute leg cramps (typically in calf) on exertion relieved by short periods of rest. It it considered a sign of arterial disease.
T/F Waking up with leg cramps would more likely be a sign of venous disease than arterial. False; cramping while sleeping is a sign of arterial occlusion disease.
When would leg pain be a sign of a venous disease? When is occurs after long periods of standing.
When doing a visual inspection of skin, what are the S/S of arterial deficiency? Cold, pale, clammy, thin, and / or shiny skin. Hair loss.
When doing a visual inspection of skin, what are the S/S of venous deficiency? Warm skin, possibly red-blue color, brown pigmentation around ankles. thickened and tough.
What could peripheral edema be a S/S of? Either an obstruction of lymphatic flow, or venous insufficiency (many causes). (p. 388)
T/F As lymphedema (LE) worsens, one's edema becomes less and less likely to have pitting. True: with LE, stage 1, and possibly stage 2 have some pitting, also swelling can be relieved w/ elevation. In stage 3 no pitting will be present, and elevating will be ineffective.
What are characteristics of edema associated lymphedema? Generally non-pitting, bilateral (not always), w/o skin ulceration or pigmentation.
What are characteristics of edema associated with venous insufficiency? Usually pitting, unilateral (not always), w/ ulcers and pigmentation
What does the Allen test look for? Patency of radial and / or ulnar arteries; client makes a fist while assessor occludes artery, then the color is observed for recovery time (S/B 3-5 seconds)
Pitting edema would be a result of what kind of SYSTEMIC issues? CHF, hepatic cirrhosis, renal failure, etc.
Pitting edema would likely be a result of what kind of LOCAL issues? Venous stasis; could be from obstruction, long periods of standing, surgical procedure, etc.
What does dependent rumor mean, and what is it manifested by? Dependent refers to lower extremity being affected by gravity (not elevated), and rubor is redness related to inflammation.
What does dependent cyanosis mean, and what is it manifested by? Dependent refers to lower extremity being affected by gravity (not elevated), and cyanotic means blue in color.
What is thrombophlebitis? Superficial venous thrombosis (vs. deep vein thrombosis) causing swelling / inflammation.
Created by: scottheadrick