Notes in peripheral vascular

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Published	09/08/2024	{{c1::intermittent claudication}} is definited as exertional pain, improved in less than 10 minutes with rest
Published	09/08/2024	+3 pulses are {{c1::bounding}}
Published	09/08/2024	+2 pulses are {{c1::brisk, normal}}
Published	09/08/2024	+1 pulses are {{c1::weak, thready, diminished }}
Published	09/08/2024	0 pulses are {{c1::unable to palpate }}
Published	09/08/2024	when palpating the brachial pulses you want to palpate just above the a{{c1::ntecubital fossa}} in the groove between triceps and biceps
Published	09/08/2024	{{c4::pulsus paradoxus}} is a pathological {{c1::decrease}} in the pulse wave amplitude and systolic blood pressure…
Published	09/08/2024	pulsus paradoxus is when the pulse {{c3::amplitude}} {{c2::lowers}} during inspiration and {{c4::venous}} return to the heart is restricted with inspi…
Published	09/08/2024	{{c1::pulsus paradoxus}} is seen in cardiac tamponade, restrictive pericarditis, and severe exacerbations of lung disease
Published	09/08/2024	{{c4::pulsus alternans}} is an alternating {{c1::strong}} and {{c1::weak}} pulse palpation – {{c2::volume}} dependent – occurs in {{c3::left ventricul…
Published	09/08/2024	a {{c1::bisferiens pulse}} is the presence of two pulsations per cardiac cycle.  The first pulsation is typically rapid and short, which is …
Published	09/08/2024	bisferiens pulses are typically seen in {{c1::HOCM}}
Published	09/08/2024	pulsus alternans is seen in {{c1::left ventricular systolic heart failure}}
Published	09/08/2024	use the {{c1::diaphragm}} for listening for carotid bruits
Published	09/08/2024	for carotid arteries, instruct patient to {{c1::hold their breath}} during auscultation
Published	09/08/2024	If bruit heard loudest above the clavicle, you can assume it is a {{c1::bruit (not murmur)}}
Published	09/08/2024	•Presence of bruit indicates {{c1::atherosclerotic}} disease, {{c2::aneurysm}}, or {{c3::stenosis}} of the {{c3::arteries}}
Published	09/08/2024	use the {{c1::bell}} when listening for abdominal aorta, renal arteries, and iliac arteries
Published	09/08/2024	normal cap refill is {{c1::<2}} sec
Published	09/08/2024	Inspection of lower extremities includes:•Color:  {{c1::Cyanosis, pallor, rubor}} •{{c1::Hair}} distribution •{{c1::Varicosities}} •Skin {{c1::at…
Published	09/08/2024	use {{c1::dorsum}} of hand when assessing skin temp, make sure to compare {{c1::b}}ilaterally simultaneously. Must start {{c2::proximally}} to {{c2::d…
Published	09/08/2024	edema: 0 = {{c1::no pitting edema}}
Published	09/08/2024	edema: 1+ = {{c1::mild pitting edema}}; {{c2::2mm depression that disappears rapidly}}
Published	09/08/2024	edema: 2+ = {{c1::moderate pitting edema}}. {{c2::4mm that disappears in 10-15 seconds}}
Published	09/08/2024	edema: 3+ = {{c1::moderately severe pitting edema}}. {{c2::6mm depression that may last more than 1 minute }}
Published	09/08/2024	edema: 4+ = {{c1::severe pitting edema}}. {{c2::8 mm depression that can last more than 2 minutes }}
Published	09/08/2024	measuring calf circumference is assessing for {{c1::unilateral edema }}
Published	09/08/2024	•Perform at least {{c1::3}} measurements bilaterally in a patient with edema
Published	09/08/2024	an {{c2::Allen test}} evaluates arterial supply of the hand specifically to check for {{c1::ulnar artery patency }}
Published	09/08/2024	an allen test is done prior to performing {{c1::arterial blood}} gas b/c a common complication is a blood clot at the arterial site..
Published	09/08/2024	a normal allen test will have the palm flush in {{c1::3-5}} seconds, if it remains pale there is an occlusion in the {{c2::ulnar arterry}}
Published	09/08/2024	•Volume assessment from a PE perspective involves evaluating multiple body systems in attempt to answer: ▫Is your patient {{c1::hypovolemic, euvo…
Published	09/08/2024	volume assessment PE includes:•Vitals – especially {{c1::HR and BP}} •Skin-examine for {{c2::turgor, moist/dry}} •Mouth-{{c3::mucous membranes}} •PV-a…
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