PAD

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  1. T or F: PAD is asymptomatic until 50% blockage occurs
    False: 60-75%
  2. What is the number 1 risk factor for PAD? What are the other risks?
    • #1: Smoking
    • DM, Hyperlipidemia, Increased C reactive protein, uncontrolled HTN, obesity, stress
  3. Fill in:
    This is the number cause of PAD in 90% of all cases
    Arthrosclerosis
  4. This cause of PAD is 90% of all cases, and is d/t inflammation and endothelial injury
    PAD
  5. This term is a symptom of PAD that is characterized as pain with walking or exercise and is relieved with rest
    Intermittent Claudication (caused by too little blood flow)
  6. Are these common locations of PAD typically found on a diabetic or non diabetic patient:

    - Anterior or posterior Tibial areas
    - Peroneal Arteries
    Diabetic
  7. Are these common locations of PAD typically found on a diabetic or non diabetic patient:

    - Femoral popliteal
    - Femoral bifurcation
    - Aortoiliac bifurcation
    Non diabetic
  8. T or F: a sign of PAD is a weak or absent pulse
    True
  9. List the Ankle/Brachial Index ranges for each:
    1. Normal
    2. Mild
    3. Moderate
    4. Severe
    • 1) 0.91-1.3
    • 2) 0.71-0.90
    • 3) 0.41-0.70
    • 4) 0.00-0.40
  10. How is the ankle/brachial index done?
    • Done by dividing ankle systolic BP by brachial systolic BP
    • Right ABI: Right ankle pressure / Both arm pressure
  11. T or F: Diabetics may get falsely high ABI measurements
    True
  12. List drug types to manage PAD (5)
    • 1. Statin (simvastatin, atorvastatin)
    • 2. Antiplatelet (aspirin, plavix)
    • 3. ACE inhibitors (ramipril)
    • 4. Blood Viscocity reducing agent (pentoxifyiline)
    • 5. Phosphodieterase inhibitor
  13. Pletal is a phosphodieterase inhibitor (antplatelet) for PAD tx. What two things should patients avoid when taking it?
    Grapefruit juice and Omeprazol
  14. List 4 nursing goals of PAD
    • 1. Adequate tissue perfusion
    • 2. Relief of pain
    • 3. Increased exercise tolerance
    • 4. Intact Healthy skin on the extremities
  15. Surgery for PAD may be done if blockage is at ____%.
    90-100% blockage
  16. Go in and dilate blood vessel, insert cath, and compress plaque walls

    A. angioplasty
    B. Endarterectomy
    C. Croplasty
    D. perihperal atherectomy
    A.
    (this multiple choice question has been scrambled)
  17. Removal of plaque 

    A. angioplasty
    B. perihperal atherectomy
    C. Endarterectomy
    D. Croplasty
    B.
    (this multiple choice question has been scrambled)
  18. Making an incision in a vessel, widening and cleaning it out

    A. Croplasty
    B. Endarterectomy
    C. angioplasty
    D. perihperal atherectomy
    B.
    (this multiple choice question has been scrambled)
  19. This surgical procedure of PAD has a 95% success rate and uses liquid nitrous oxide.
    Cryoplasty
  20. List nursing interventions after a patient has a vascular stent
    • Keep leg straight
    • Check groin site for bleeding
    • Check CSM
    • Don't let patient move leg too much if high risk of bleeding
  21. When checking patient Q15min post-op of bypass graft, you see an increase in pain, pulse, pallor extremities and numbness. What should you do?
    Notify MD promptly
  22. T or F: Initially a patient post op will receive warfarin as anticoagulant therapy, then go home with Coumadin for home tx.
    False: initially with lovenox or coumadin, then home with warfarin or aspirin
  23. What are the six P's of ACUTE Arterial occlusion
    • 1. Pain
    • 2. Parathesias
    • 3. Poikilothermia
    • 4. Paralysis (late sign - irreversible nerve dmg)
    • 5. Pallor
    • 6. Pulselessness
  24. This is the emergency surgical removal of emboli which are blocking blood circulation. It usually involves removal of thrombi (blood clots)
    Embolectomy
  25. This drug is a blood viscocity reducing agent and is used to treat intermittent claudication.

    A. Pentoxifylline (trental)
    B. Cilostazol (Pletal)
    C. Clopodogrel (Plavix)
    D. Ramipril (Altace)
    A. Pentoxifylline (Trental) 400mg PO TID

    Pletal - Phosphodidieterase Inhibitor
    Plavix - Antiplatelet
    Altace - ACE inhibitor
    (this multiple choice question has been scrambled)
  26. This drug is a Phosphodieterase inhibitor used for intermittent claudication. It inhibits the enzymes that make cAMP for platelets.

    A. Clopodogrel (Plavix)
    B. Pentoxifylline (trental)
    C. Cilostazol (Pletal)
    D. Ramipril (Altace)
    C. Pletal - Phosphodidieterase Inhibitor

    Trental - Blood viscocity reducing agent
    Plavix - Antiplatelet
    Altace - ACE inhibitor
    (this multiple choice question has been scrambled)
  27. Which antiplatelet medicine do you give for a PAD pt. who is non-symptomatic:

    A. Aspirin 70-100mg PO daily
    B. Plavix 75mg PO daily
    C. Aspirin 160-325mg PO daily
    A.
    (this multiple choice question has been scrambled)
  28. Which Thrombolytic Therapy is used most often:

    A. Urokinase
    B. Streptokinase
    C. TPA
    C. TPA (Activase)
    (this multiple choice question has been scrambled)
  29. What four labs will you need to check for when giving TPA (Activase)? (Pre-procedure Labs)
    • PTT
    • PT
    • HcT
    • WBC
  30. T or F: During the first PO day after a Femoral Bypass Graft, you want to keep the patient on strict bedrest as not to aggravate the surgical site and cause bleeding.
    False: During first PO day, get patient out of bed several times/day and avoid prolong sittings
  31. List the three meds for Phantom Limb sensations.

    Which of the three do you give only at night?
    • 1. Carbamazepine (Tegretol) - anticonvulsant / moodstabilizer 
    • 2. Gabapentin (Neurontin) - anticonvulsant / mood stabilizer
    • 3. Amitriptyline (Elavil) - TCA 

    Answer: Amitriptyline (Elavil)

Card Set Information

Author:
edeleon
ID:
335597
Filename:
PAD
Updated:
2017-11-03 05:24:41
Tags:
Peripheral Artery Disease Nursing
Folders:
MS Exam 1
Description:
Exam 1 Lecture notes
Show Answers:

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