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Peripheral vascular system/Lymphatic system
Nursing Skills
30
Nursing
Undergraduate 3
10/01/2010

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Cards

Term
Temporal artery
Definition
the temporal artery is palpated in from of the ear,
Term
Carotid artery
Definition
palpated in the groove between the sternomastoid muscle, and the trachea.
Term
Arteries in the arm
Definition

Brachial- which runs in the biceps-triceps furrow of the upper arm and surface at the antecubital fosssa in the elbow medical to the biceps tendon

Radial/ulnar- these run distally and form two arches supplying the hand. radial pulse lies just medial to the radius at the wrist, the ulnar artery is in the same relation to the ulna, but it is deeper and often difficult to feel.

Term
Femoral artery
Definition
Passes under the inguinal ligament. travels down the thigh
Term
What should normal ABI (ankle-brachial index)
Definition
usually 1.0 to 1.2
Term
popliteal artery
Definition
below the knee, this artery divides
Term
dorsalis pedis
Definition
artery on the dorsum of the foot
Term
posterior tibial
Definition
artery travels behind the medial malleolus and in the foot forms the plantar arteries
Term
veins in the arm
Definition
each has two sets of veins, superficial and deep.
Term
deep veins
Definition

run alongside the deep arteries and conduct most of the venous return from the legs

 

Term
3 types of veins in the leg?
Definition

deep vein- femoral and popliteal

superficial veins- great and small saphenous

perforators- connecting veins that join the two sets.

Term
great saphenous vein
Definition
vein inside the leg, starts at the medial side of the dorsum of the foot
Term
small saphenous vein
Definition
vein outside the leg, starts onthe lateral side of the dorsum of the foot
Term
are the arteries a high or low pressure system?
Definition

high

veins are low

Term
what would happen if we did have lymphatic drainage?
Definition
fluid would build up in the interstitial spaces and produce edema
Term
Right lymphatic duct
Definition
empties into the right subclavian vein. drains the right side of the head and neck, right arm, right side of thorax, right lung and pleura, right side of the heart, right upper section of the liver
Term
thoracic duct
Definition
drains the rest of the body. it empties into the left subclavian vein
Term
function of the lymphatic system
Definition

1. to conserve fluid and plasma proteins that leak out of the capillaries

2. to form a major part of the imune system that defends the body against disease

3. to absorb lipids from the interstinal tract.

Term
lymph nodes
Definition

are small oval clumps of lumphatic tissue located at intervals along the vessels. they are arranged in groups, both deep and superficial.

there are cervial, axillary, epitrochlear, inguinal

Term
related organs to lymphatic system
Definition
spleen, tonsils, thymus
Term
subjective data of patient
Definition

leg pain or cramps

skin changes on arms or legs

swelling in the arms or legs

lymph node enlargement

medications

Term
objective data of patient
Definition

inspect and palpate arms, legs

symmetry, skin profile sign, ulnar pulse brachial pulse

Term
Doppler ultrasonic stethoscope
Definition
this device is used to detect a weak peripheral pulse, to monitor blood pressure in infants or children, or to measure a low blood pressure or blood pressure in a lower extremity.
Term
weak "thready" pulse 1+
Definition
this pulse is hard to palpate, need to search for it. decreased cardiac output, peripheral arterial disease, aortic valve stenosis
Term
full, bounding pulse 3+
Definition
this pulse is easily palpable, pounds under your fingertips. hyperkinetic states, anemia, hyperthyroidism
Term
Raynaud's phenomenon
Definition
episodes of abrupt progressiv tricolor change of the fingers in response to cold, vibration or stress
Term
arteriosclerosis-ischemic ulcer
Definition
buildup of fatty plaques on intima plus hardening and calcification of arterial wall. ulcers occur at toes, metatarsal heads, heels.
Term
Venous (stasis) ulcer
Definition
after acute deep vein thrombosis or chronic incompetent valves in deep veins
Term
Superficial varicose veins
Definition
incompetent valves permit reflux of blood, producing dislated, tortuous veins.
Term
Deep Vein Thrombophlebitis
Definition
a deep vein is occuluded by a thrombus, causing inflammation, blocked veonous return, cyanosis and edema.
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