NURS 621 MIDTERM EXAM STUDY GUIDE LATEST UPDATED AND RATED A.
Dx: Peripheral Vascular/artery disease H&P
✔✔H&P:
• Atherosclerosis (most common cause)
• Risks: >50y, smoking, DM, overweight, male, sedentary life, HTN, high
cholesterol, fam hx heart or vascular disease, CAD, AA
• Virchow's triad: hypercoagulable state, vascular wall injury, circulatory
stasis
• 5 P's: pain, pallor, pulselessness, paralysis, paresthesia (3,4,5 surgial
emergency)
• Pulses
o 0 = no pulse
o 1+ = thread pulse
o 2+ = normal
o 3+ = bounding
o 4+ = aneurysm
PVD/PAD DDX
✔✔DDx:
• Intermittent claudication
o Cramping, gradual onset, consistent, relieved by standing still. Affects
buttock, thigh, calf, usually one leg
• Venous Claudication
o "bursting" pain. Gradual onset or immediate. Relieved by elevation of
leg. Affects whole leg, usually one
• Neurogenic Claudication