PVD Nur106

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Author:
Anonymous
ID:
312283
Filename:
PVD Nur106
Updated:
2015-11-30 17:58:51
Tags:
PVD
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Description:
PVD
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  1. Primary Hypertension
    • No known cause-associated risk factors
    • family history
    • high sodium intake
    • excessive calorie intake
    • physical inactivity
  2. Secondary Hypertension
    • Renal disease
    • adrenal disease
    • coarctation of aorta-narrowing
    • brain tumors
    • pregnancy
    • drugs
  3. Arteries
    More musculature -tunica media intima
  4. Veins
    relay on skeletal muscle to return blood.
  5. stage 2 hypertension
    160/100+
  6. PVD
    • HTN
    • increased renal, peripheral, coronary and cerebral
  7. atherosclerosis
    • formation of plaque in artery wall
    • Step 1: Damage to the vessel wall.
    • Step 2: Vessel becomes inflamed.
    • Step 3: Fatty streak appears.
    • Step 4: Plaque develops.
    • Step 5:  Fibrous lesion becomes                 calcified, hemorrhagic,ulcerated, or thrombosed
  8. Pule pressure
    S-D pressure 30-40 is normal
  9. Arterial PVD
    dependent rubor and intermittent claudication
  10. decrease risk of PVD
    • reduce sodium intake
    • weight reduction
    • cessation of smoking and limit drinking
    • exercise
    • relaxation 
    • caffeine reduction
  11. Virchows Triad
    • Stasis
    • Endothelial injury
    • hypercoagulability
  12. Stasis
    • prolonged inactivity
    • HF
    • surgery to a limb
  13. Endothelial injury
    • Tourniquet
    • IV therapy
  14. Hypercoagulability
    • Cancer
    • Oral contraceptives
    • dehydration
  15. Diabetic ulcers
    Caused by nerve damage, loss of sensation, reduced blood flow.
  16. S&S of diabetic ulcers
    • Paraesthesia 
    • unsteady gait
    • neuropathy
    • injury without pain
  17. Arteriole ulcers S&S
    Between toes, deeper, inadequate O2 and nutrient supply to deep tissue leading to ulcer.
  18. Venous Ulcers
    prolonged venous hypertension, edema leading to stasis ulcers, cellulitis and stasis dermatitis.
  19. Children with PVD
  20. Kawasaki's disease
    75% in pediatrics
    • Acute systemic vasculitis
    • Edema & Erythema
    • Conjunctivitis 
    • strawberry tongue 
    • Rash
  21. Kawasaki disease treatments in peds
    leading cause of heart disease in children-treatment involves-Prevention of coronary artery disease intravenous immunoglobulin is the main treatment second line is corticosteroids
  22. Reyes syndrome in PED
    • Early S&S-Diarrhea and rapid breathing, confusion, weakness.
    • causes confusion, brain swelling and liver damage high incidence of occurrence in pediatrics due to ASA Age limit 2 years but children and teenagers shouldn't take ASA.

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