Term
|
Definition
- Distal aorta
- Iliac arteries
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Term
|
Definition
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Term
| Name Peripheral Arterial Diseases |
|
Definition
- Buerger's Disease
- Subclavian Steal Syndrome
- Thoracic Outlet Syndrome
- Raynaud's Disease
- Raynaud's Phenomenon
- Popliteal Entrapment
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Term
| Diagnostic Procedures for PAD |
|
Definition
- Arteriorgraphy
- Excercise Tolerance Testing
- Plethysmography (blood pressure cuffs)
- Segmental Systolic Blood Pressure Measurements (doppler)
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Term
| Therapeutic Procedures for PAD |
|
Definition
- Percutaneous Transluminal Angioplasty (PTA)
- Balloon - used for poor surgical candidates or in cases where amputation is inevitable.
- Laser-Assisted Angioplasty
- Atherectomy - removal of plaque with rotary
- Arterial Revascularization
- Bypass Grafts
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Term
|
Definition
- Venous duplex ultrasonography
- Venogram
- MRI
- D-Dimer test
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|
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Term
|
Definition
- Measures fibrin degradation products produced from fibrinolysis.
- It can be very useful as an adjunct to noninvasive testing.
- A negative D-dimer test can exclude a DVT without an ultrasound
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Term
| Therapeutic procedures for Varicose Veins |
|
Definition
- Sclerotherapy
- Solution injected into vein, followed by pressure dressing
- Incision and drainage of trapped blood 14 - 21 days after injection, followed by pressure dsg for 12-18hrs.
- Vein Stripping
- Veins are removed if they are larger than 4mm or in clusters
- Radiofrequency Energy
- Vein is heated from the inside by the RF and shrinks.
- Collateral veins take over
- Laser Treatment
- Endovenous laser treatment uses a laser fiber to heat and close the main vessel that is contributing to the varicosity.
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|
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Term
| Nursing Interventions for DVT and Thrombophlebitis |
|
Definition
- REST
- Bedrest and elevation above heart. AVOID knee gatch or pillow under knees.
- Intermittent or continuous warm moist compresses
- Prevents thrombus from dislodging and becoming an embolus, DO NOT massage
- Provide thigh-high compression or anti-embolism stockings
- Administer Medications
- Anticoagulants
- Thrombolytic Therapy
- Analgesics
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|
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Term
| Unfractionated Heparin (UFH) |
|
Definition
- Given IV
- Given to preven formation of other clots
- Prevent enlargement of existing clot
- Followed up with PO anticoagulation with warfarin
- Monitor aPTT, platelet counts
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Term
|
Definition
|
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Term
|
Definition
- Works in the liver to inhibit synthesis of the four vitamin K-dependant clotting factors
- Take 3-4 days before it can exert therapeutic anticoagulation.
- Heparin is continued until Coumadin is therapeutic
- Thearpeutic level are measured using INR.
- INR is more accurate than PT, but some labs report both
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|
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Term
|
Definition
|
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Term
| When is thrombolytic therapy contraindictated? |
|
Definition
- Following surgery
- Childbirth
- Trauma
- CVA
- Spinal Injury
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|
|
Term
| Inferior Vena Cava Interruption Surgery |
|
Definition
| A filter traps emboli and prevents them from reaching the heart |
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Term
| Nursing interventions for venous insufficiency |
|
Definition
- Elevate legs above heart for at least 20min 4-5x/day
- Avoid prolonged sitting or standing, constrictive clothing, or crossing legs
- Wear elastic or compression stockings
- put on before getting out of bed after sleep
- Clean each day, keep seems to outside
- If prescribed, intermittent sequential pneumatic compression system
- BID for 1 hr each time
- Applied over open ulcer dressing
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