Sunday, September 11, 2016

MED SURG~Peripheral Arterial Disease PAD

PAD 

What is it: Artery wall thicken 

Pathophysiology: The walls of the arteries narrow. 

What Normally Happens in the Body: Thickening happens with cholesterol deposits in the vessel walls. 

What makes it worse: Tobacco, diabetes, hyperlipidemia, family history, increased age, hyperuricemia, obesity, sedentary lifestyle and stress. 

Signs and Symptoms: intermittent claudications, paresthesia, skin is shiny and taut  pallor, decreased or absent femoral pulse 

Possible Causes: atherosclerosis 

Labs and Diagnostics: Doppler ultrasound, segmental BP, angiography and ABI

Meds: Antiplatelets 

Nursing Interventions: femoral pulse absent or decreased, pallor present, have the pt walk, nutrition therapy, Pre-op and Post-op care

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