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Health Assess II Exam 1 Concepts
nursing (Chamberlain University)
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Exam 1 Concepts
Chapter 21: Peripheral Vascular System and Lymphatic System
Check radial pulses: grade amplitude on a 3 point scale. 3+ increased, full bounding, 2+ normal,
1+ weak, 0 absent. Palpate for temperature along legs down to feet, using bilateral comparison.
Palpate lower extremity pulses using bilateral comparison. Use of monofilament to assess
neurovascular status
Understand and identify the assessment to determine perfusion status
Perfusion status is determined by a combination of parameters that includes heart rate, blood
pressure, tissue color and mentation. ... Adequate perfusion is defined as adequate circulation of
blood through organs and tissues, manifested by normal pulse, tissue color, level of consciousness
and blood pressure.
Manifestations of chronic venous insufficiency/disease - Arterial disease causes symptoms of
oxygen deficit. Venous disease causes symptoms of metabolic waste build up.
Venous ulcers account for 80% of lower leg ulcers - pain in calf or lower leg, worse at end of day,
(prolonged standing or sitting); pain lessens with leg elevation. Itching with stasis dermatitis.
Lower leg edema that does not resolve with diuretic therapy. Firm, edema; coarse, thickened skin;
pulses normal; brown pigment discoloration; petechiae; dermatitis. Venous stasis causes increased
venous pressure, which then causes red blood cells (RBCs) to leak out of veins and into skin.
Arterial insufficiency – delayed venous filling, & dependent rubor (deep blue-red color) occurs
w/severe arterial insufficiency. Chronic hypoxia produces loss of vasomotor tone & pooling of blood in
the veins.
Manifestation of Arterial Ulcers - Buildup of fatty plaques (atherosclerosis), calcification of arterial
wall (arteriosclerosis). Deep muscle pain in calf or foot, claudication. Worsens with leg elevation.
Coolness in one foot or leg, elevational pallor, and dependent rubor; diminished pulses; distal
gangrene. Ulcers occur at toes, metatarsal heads, heels, and lateral ankle .
Peripheral Arterial Disease (PAD) - blood (oxygen) unable to get to tissues, cannot match muscle
demand during exercise; therefore people feel muscle fatigue or pain when walking (claudication).
Affects noncoronary vessels & arteries affects limbs. Ex. Right leg unable to get oxygenated blood to
foot/foot would be pale & cold. Symptoms – leg pain, night leg pain, edema, heat or coolness
Peripheral veinous disease - blood can’t go from leg to heart. Swelling, warmth & erythema.
Pulses associated with PAD and venous disease – popliteal, tibial, dorsalis pedis.
Identify the relieving factors for arterial insufficiency/disease (PAD) relieving factors, elevate
feet, warm moist heat, walking or rest
Relieving factors for venous insufficiency/disease - Compression garments help blood that is
pooling in the leg, ankle, or foot to flow in the right direction toward the heart. Maintain healthy weight,
↑ activity, elevate legs, avoid tight clothing, avoid salt, moisturize skin.
Intermittent claudication – (vascular claudication), muscle pain on mild exertion (ache, cramp,
numbness or sense of fatigue), classically in the calf muscle, which occurs during exercise, such as
walking, and is relieved by a short period of rest.
Claudication distance definition – number of blocks walked, or stairs climbed to produce pain, not
relieved by rest.
Downloaded by bakr amar ()
Health Assess II Exam 1 Concepts
nursing (Chamberlain University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by bakr amar ()
, lOMoARcPSD|16248954
Exam 1 Concepts
Chapter 21: Peripheral Vascular System and Lymphatic System
Check radial pulses: grade amplitude on a 3 point scale. 3+ increased, full bounding, 2+ normal,
1+ weak, 0 absent. Palpate for temperature along legs down to feet, using bilateral comparison.
Palpate lower extremity pulses using bilateral comparison. Use of monofilament to assess
neurovascular status
Understand and identify the assessment to determine perfusion status
Perfusion status is determined by a combination of parameters that includes heart rate, blood
pressure, tissue color and mentation. ... Adequate perfusion is defined as adequate circulation of
blood through organs and tissues, manifested by normal pulse, tissue color, level of consciousness
and blood pressure.
Manifestations of chronic venous insufficiency/disease - Arterial disease causes symptoms of
oxygen deficit. Venous disease causes symptoms of metabolic waste build up.
Venous ulcers account for 80% of lower leg ulcers - pain in calf or lower leg, worse at end of day,
(prolonged standing or sitting); pain lessens with leg elevation. Itching with stasis dermatitis.
Lower leg edema that does not resolve with diuretic therapy. Firm, edema; coarse, thickened skin;
pulses normal; brown pigment discoloration; petechiae; dermatitis. Venous stasis causes increased
venous pressure, which then causes red blood cells (RBCs) to leak out of veins and into skin.
Arterial insufficiency – delayed venous filling, & dependent rubor (deep blue-red color) occurs
w/severe arterial insufficiency. Chronic hypoxia produces loss of vasomotor tone & pooling of blood in
the veins.
Manifestation of Arterial Ulcers - Buildup of fatty plaques (atherosclerosis), calcification of arterial
wall (arteriosclerosis). Deep muscle pain in calf or foot, claudication. Worsens with leg elevation.
Coolness in one foot or leg, elevational pallor, and dependent rubor; diminished pulses; distal
gangrene. Ulcers occur at toes, metatarsal heads, heels, and lateral ankle .
Peripheral Arterial Disease (PAD) - blood (oxygen) unable to get to tissues, cannot match muscle
demand during exercise; therefore people feel muscle fatigue or pain when walking (claudication).
Affects noncoronary vessels & arteries affects limbs. Ex. Right leg unable to get oxygenated blood to
foot/foot would be pale & cold. Symptoms – leg pain, night leg pain, edema, heat or coolness
Peripheral veinous disease - blood can’t go from leg to heart. Swelling, warmth & erythema.
Pulses associated with PAD and venous disease – popliteal, tibial, dorsalis pedis.
Identify the relieving factors for arterial insufficiency/disease (PAD) relieving factors, elevate
feet, warm moist heat, walking or rest
Relieving factors for venous insufficiency/disease - Compression garments help blood that is
pooling in the leg, ankle, or foot to flow in the right direction toward the heart. Maintain healthy weight,
↑ activity, elevate legs, avoid tight clothing, avoid salt, moisturize skin.
Intermittent claudication – (vascular claudication), muscle pain on mild exertion (ache, cramp,
numbness or sense of fatigue), classically in the calf muscle, which occurs during exercise, such as
walking, and is relieved by a short period of rest.
Claudication distance definition – number of blocks walked, or stairs climbed to produce pain, not
relieved by rest.
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