6777986
Description
Flashcards by Lisa Iwasaki, updated more than 1 year ago
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Created by Lisa Iwasaki
over 7 years ago
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| Question | Answer |
| How do you grade the amplitude of arterial pulses? | 4+ Bounding 3+ Increased 2+ NORMAL 1+ Diminished 0 Absent, not palpable |
| How do you perform an upper extremities PV exam? | INSPECT extremities and skin for color, cyanosis, swelling INSPECT nails for color, clubbing, capillary refill PALPATE radial and brachial pulses PALPATE for epitrochlear lymph nodes |
| What is an Allen Test? | Helps evaluate arterial supply to hand |
| How do you perform an Allen Test? | - Have patient make a tight fist - Compress both radial and ulnar arteries - Ask patient to open hand: should be pale - Release pressure over ulnar artery - If collateral circulation is OK, palm gets pink in 2-3 sec |
| How do you perform a LOWER extremities PV test | INSPECT extremities & skin for color, cyanosis, swelling INSPECT nails for color, lesions, cap refill PALPATE femoral pulse, inguinal lymph nodes PALPATE popliteal, dorsalis pedis & posterior tibial pulses PALPATE for edema |
| What is a normal capillary refill? | Cap refill < 2 seconds |
| Delayed Capillary Refill | |
| What is Edema (2 types)? | PITTING edema -Dorsum of each foot - Behind medial malleolus - Anterior tibia (shins) NON-PITTING edema |
| How do you grade pitting edema? | 1+ = Mild pitting, slight indentation, no perceptable swelling of the leg 2+ = Moderate pitting, indentation subsides rapidly 3+ = Deep pitting, indentation remains for a short time, leg looks swollen 4+ = Very deep pitting, indentation lasts a long time, leg is very swollen |
| PITTING Lower Extremity Edema | |
| NONPITTING Periorbital Edema | |
| What does a Homan's sign test for? | Deep Vein Thrombosis (support pt's thigh with one hand and foot with the other, bend leg slighty at the knee and firmly dorsiflex the ankle. Test is positive if there is deep calf pain) |
| What are types of venous insufficiency? | Varicose veins Venous stasis |
| Varicose veins | |
| Venous stasis | |
| Venous Stasis Ulceration "wet and goupy" | |
| What are some characteristics of arterial insufficiency? | Shiny skin cold to touch loss of hair reddish appearance to skin |
| Where are arterial ulcers normally seen? | Seen over areas of vascular supply; commonly on the tops of toes - ulcers are dry and PAINful |
| Arterial Insufficiency | |
| Arterial Ulcer | |
| What do you call the end stage of arterial disease? | Gangrene (results in necrotic tissue) |
| Gangrene | |
| Diabetic Ulcer |
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