Peripheral Vascular Diseases

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Peripheral Vascular Diseases

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Peripheral Vascular Diseases

  1. 1. PERIPHERAL VASCULAR DISEASES Presented by: Dave Jay Sibi. Manriquez RN.
  2. 2. THROMBOANGITIS OBLITERANS (BUERGER’S DISEASE) <ul><li>Definition : Diffuse inflammation of arteries and veins with clot formation. </li></ul><ul><li>Etiology : unknown </li></ul><ul><li>Risk : cigarette smoking, genetic, males </li></ul><ul><li>S/ Sx. : intermittent claudication, edema ulceration, and gangrene </li></ul>
  3. 3. Management: <ul><li>Arrest progress of the dse. </li></ul><ul><li>Produce vasodilation </li></ul><ul><li>Relieve pain </li></ul><ul><li>Provide emotional support </li></ul><ul><li>Wound care </li></ul><ul><li>Amputation </li></ul>
  4. 4. Raynaud’s disease <ul><li>Definition : vasospasm causing ischemia </li></ul><ul><li>Etiology : unknown; related to release of serotonin, hypersensitivity to cold </li></ul><ul><li>Risk : cigarette smoking, congenital, women </li></ul><ul><li>S/ Sx. : numbness of fingertips, pallor, CRT, cyanosis, ulceration </li></ul>
  5. 5. Management: <ul><li>Promote vasodilation </li></ul><ul><li>Avoid exposure to colds </li></ul><ul><li>Stop smoking </li></ul><ul><li>sympathectomy </li></ul>
  6. 6. VARICOSE VEINS <ul><li>Definition : incompetent valve of the vein in the lower extremities </li></ul><ul><li>Risk : prolonged standing, pregnancy, trauma </li></ul><ul><li>Dx test : doppler test, trendelenburg test. phlethysmography </li></ul>
  7. 7. VARICOSE VEINS <ul><li>S/ Sx. : edema, venous distention, stasis ulcer( medial aspect), muscle cramps, heaviness, </li></ul>
  8. 8. Management: <ul><li>Sclerotherapy </li></ul><ul><li>Venous stripping </li></ul><ul><li>Venous ligation </li></ul><ul><li>Elastic compression </li></ul><ul><li>Elevate extremities </li></ul><ul><li>Leg exercise </li></ul>
  9. 9. DEEP VEIN THROMBOSIS <ul><li>Definition :clot in an inflammed vein </li></ul><ul><li>Risk : Virchow’s Triad </li></ul><ul><li>Dx exam : venography, UTZ </li></ul><ul><li>S/ Sx. : swollen limb, + homans sign, calf stiffness, induration of the vein </li></ul>
  10. 10. Management: <ul><li>Thrombolytic therapy </li></ul><ul><li>Anticoagulant therapy </li></ul><ul><li>Proper leg positioning </li></ul><ul><li>Provide comfort </li></ul><ul><li>Prevent complication </li></ul><ul><li>Avoid green leafy vegetables </li></ul>
  11. 11. <ul><li>THANK YOU!!! </li></ul>

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