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peripheral cardio system
nur 203 cardio peripheral
81
Nursing
Undergraduate 2
10/24/2010

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Term
Arteries
Definition
carry oxygenated blood from the heart to the capillaries. high pressure system. they must be thick and strong. has elastic fibers in it.
Term
arterial pulse
Definition
a surge of blood with each heart beat in the arteries.
Term
brachial artery
Definition
arm
Term
radial and ulnar
Definition
hand
Term
what do the palmar arches do?
Definition
they provide extra protection against arterial occlusion to the hands and fingers
Term
femoral artery
Definition
major supplier of blood to the legs. palpable under the inguinal ligament. travels from the front of the thigh to the back of the thigh where it is later called the popliteal artery.
Term
how many popliteal arteries are there?
Definition
2. an anterior and posterior branch
Term
dorsalis pedis artery
Definition
it stems from the anterior popliteal artery branch. can be palpated on the big toe side of the top of the foot.
Term
posterior tibial artery
Definition
stems from the posterior popliteal artery. can be palpated on the medial malleolus of the ankle.
Term
what does the dorsal arch do?
Definition
prodives extra protection to the feet and toes from arterial occlusion.
Term
veins
Definition
carry deoxyginated blood from the tissues to the heart. contain nearly 70% of the bodies blood volume. thin walls. are larger in diameter than arteries.
Term
femoral vein and popliteal vein
Definition
the deep veins of the leg. account for 90 of venous return from the lower extremities
Term
what moves blood in the veins?
Definition
one way valves, muscular contraction, and pressure gradients through the act of breathing.
Term
venous stasis
Definition
venous return is impeded. risk factors are from long periods of standing still, sitting down, or lying down. varicose veins can increase venous pressure.
Term
capillaries
Definition
small blood vessels. releases oxygen, water, and nutrients. pick sup watses like carbon dioxide. fluid enters by osmotic pressure.
Term
how is pulse assessed?
Definition
0-4+ with 0 being absent and 4+ bounding pulse. 3 is normal.
Term
which tunis of arteries has smooth muscle?
Definition
the middle tunic
Term
the capillary bed is important in preventing...?
Definition
edema
Term
right lymphatic duct
Definition
drains the upper right side of the body
Term
the thoracic duct
Definition
drains the entire body except the upper right side of the body.
Term
what does the lymphatic system absorb?
Definition
fats from the small intestine
Term
epitrochlear nodes
Definition
drain the lower arm and head
Term
axillary nodes
Definition
it drains the rest of the lymph that the epitrochlear nodes didn't drain
Term
inguinal nodes
Definition
drain the legs, external genitalia, lower abdomen, and buttocks.
Term
ulcers of the feet are...?
Definition
usually painless and occur on toes, feet, or lateral ankle.
Term
venous ulcers
Definition
painless and occur on lower leg or medial ankle
Term
peripheral edema
Definition
result from an obstruction of the lymphatic flow or from venous insufficiency such as incompetant valves or decreased osmotic pressure.
Term
what can edma do to wounds?
Definition
it can reduce oxygenation to the tissue.
Term
deep vein thrombosis
Definition
blood clot in a deep vein. clot in the thigh is the most serious because it can travel to the lung
Term
the patch increases the chance of...?
Definition
hypertension and edema.
Term
lymphedema
Definition
results from blocked lymphatic surgery. causes non pitting edema.
Term
what are the stages of lymphedema?
Definition
stages 0-3. Stage 0 is that edema is not evident. stage 3 is elephantiasis stage.
Term
raynaud's disease
Definition
a vascular disease caused by vasoconstriction or vasospasm of the fingers or toes. rapid changes of color. swelling, pain, numbness, tingling burning, throbbing, and coldness. can last minutes to hours.
Term
capillary refill over 2 seconds may indicate...?
Definition
vasoconstriction, decreased cardiac output, shock, hypothermia, and arterial occlusion
Term
enlarged lymph nodes could be due to ?
Definition
a lesion in the area
Term
an enlarged epitrochlear lymph node may indicate ?
Definition
an infection in the hand or forearm
Term
a rusty brownish pigmentation around the ankles indicates?
Definition
venous insufficiency
Term
smooth ulcers
Definition
have regular borders that occur at pressure area....result from arterial insufficiency
Term
loss of hair on the legs could suggest?
Definition
venous insufficiency
Term
irregular ulcers
Definition
occur on medial ankle result from venous insufficiency
Term
unilateral edema
Definition
characterized by a 1 cm difference in measurement at the ankles or a 2 cm difference at the calf
Term
pitting edema
Definition
associated with systemic problems. grades 1+ -- 4+ with 4+ being the msot severe.
Term
what could it mean if the temperature of the leg changes as your move down?
Definition
arterial insufficiency.
Term
thrombophlebitis
Definition
increased warmth  from a secondary infection in the tissue around the vein
Term
a fixed node may indicate?
Definition
malignancy
Term
lymph nodes larger than 2 cm could be?
Definition
from a local infection or generalized lymphadenopathy.
Term
a weak of absent femoral pulse could be?
Definition
indicative of a partial or complete arterial occlusion
Term
bruits over the femoral arteries could be a sign of?
Definition
of a partial obstruction or a vessel or diminsihed blood flow to the extremities
Term
risk factors for arterial insufficiency is...?
Definition
diabetes, smoking, age, and cardiac disease
Term
thoracic pressure does what to the vein pressure?
Definition
decreases the veinous pressure
Term
abdomen pressure does what to the venous pressure?
Definition
it increases venous pressure
Term
a venous ulcer will?
Definition
it will bleed and have a colored appearance
Term
why do the feet sometimes have a tanned appearance?
Definition
it looks tan due to iron deposists due to venous insufficiency
Term
incompetant supperficial veins could result in?
Definition
varicose veins
Term
incompetant deep veins can result in?
Definition
edema
Term
deep vein thromboses 
Definition
found in femoral, popliteal and or illiac veins. the thrombosis can move from the legs to the heart to the lungs
Term
venous stasis
Definition
blood not moving. immobility. bedrest. impaired cardiac functions
Term
hypercoagulation states
Definition
increased risk for coagulation. dehydration, childbirth, oral contraceptives, smoking, and genetic disorders
Term
vessels wall injury
Definition
surgery, venous catheters, trauma
Term
how fast should the capillary color return for capillary refill?
Definition
6 seconds
Term
allen test
Definition
asseses patency of radial and ulnar arteries
Term
lymph moves to the...?
Definition
center of the body
Term
delayed capillary refill could indicate?
Definition
decreased cardiac output, constriction of peripheral vessels, cigarettes
Term
the epitrochlear joint drains the...?
Definition
forearms, 3th, 4th, and 5th fingers
Term
while examining a patients legs for the lymphatic system you should?
Definition
elevate them
Term
claudication
Definition
pain from walking and is a sign of arterial insufficiency
Term
pain in the calf could be a sign of?
Definition
a clot
Term
delayed filling of superficial veins could indicate?
Definition
arterial insufficiency
Term
0 for edema = ?
Definition
no edema
Term
2+ for pulse is concidered?
Definition
normal
Term
lymph flow, flows in what direction?
Definition
it flows towards the center of the body through the right and common thoracic ducts
Term
the horizontal group
Definition
drains the abdominal wall, the external genitalia, the anal canal, and the gluteal area
Term
inguinal nodes
Definition
located near the saphenous vein, it drains that area of the leg
Term
lymphedema
Definition
results from blocked lmphatic circulation, causes non pitting edema
Term
enlarged epitrochlear lymph nodes may suggest?
Definition
an infection of the hand or the forearm. may also be because of a lesion. 
Term
pallor of legs when raised suggests?
Definition
arterial insufficiency
Term
what suggests venous insufficiency?
Definition
cyanosis when dependent. and a rusty brownish coloring on the ankles. 
Term
what is a positive homans sign?
Definition
calf pain and tenderness
Term
edema associated with lymphodema
Definition
non pitting edema. no ulcerations
Term
edema associated with chronic venous insufficiency
Definition
pitting edema. skin ulcerations and pigmentation can be present. caused by obstruction of deep veins
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