Peripheral vascular disease

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Peripheral vascular disease

  1. 1. Peripheral Vascular Disease Marnelle Joy S. Pulmano, BSN, RN
  2. 2. OVERVIEW
  3. 3. Definition• A disease of the peripheral blood vessels• Characterized by narrowing and hardening of the arteries that supply the legs and feet• The decreased blood flow results in nerve and tissue damage to the extremeties
  4. 4. Incidence• PVD is a very common disorder• Most common in men over 50 years of age
  5. 5. Onset• PVD has a gradual onset• Initially asymptomatic until secondary complications develop
  6. 6. Etiology• Atherosclerosis is the primary cause of CVD• Risk Factors: – Smoking, diabetes, hyperlipidemia, CAD, A-fib, CVA, renal disease
  7. 7. Clinical Findings• Intermittent claudication – Leg pain upon activity, which is relieved by rest• Weak or absent peripheral pulses• Pallor or cyanosis
  8. 8. Clinical Findings• Numbness• Cool extremities• Minimal to no hair growth in extremities
  9. 9. NURSING FOCUS
  10. 10. • Assess and monitor distal circulation and sensory and motor function• Prevent pressure sores – Frequent position changes – Assessment• Encourage and assist with frequent ambulation
  11. 11. PATIENT TEACHING
  12. 12. • Provide patient and family with literature on PVD• Encourage light to moderate activity alternated with periods of rest• Explain options available for smoking cessation
  13. 13. • Teach patient to reduce intake of saturated fats, trans fat, cholesterol• Explain proper foot care: – Wearing shoes that fit properly – Avoid open-toed or heeled shoes – Keep feet clean and dry – Minimize risk of injury
  14. 14. – Never go barefoot – Inspect bottom of feet daily for injuries• Encourage leg exercises and walking regimen – Ankle rotation• Explain the dosage, route, action, adverse reaction of meds

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