PAD/AOD

Question 1

CAD Risk Factors

Answer 1

• Smoking
• Dyslipidemia
• HTN
• Hyperhomocysteinemia

Question 2

Atherosclerosis Risk Factors

Answer 2

• 70 yo
• claudication/ischemic rest pain
• abnormal LE pulses
• Smoker/used to smoke
• Diabetes
• HTN
• high cholesterol
• Hx vascular disease, MI, stroke
• African American

Question 3

S/Sx

Answer 3

• intermittent claudication
• leg/foot pain disrupting sleep
• sore/wound on feet
• paleness/blueness
• decreased temp
• poor nail growth
• decreased hair growth on LE
• may be asymptomatic

Question 4

PAD

Answer 4

obstruction of large to medium sized arteries by atheromatous plaques

• mostly LE
• unilateral

Question 5

ABI

Answer 5

• compare LE & UE SBP with hand held doppler
• ABI=SBP leg/SBP arm

Leg: use dorsalis pedis/post tib

Question 6

ABI Classification

Answer 6

> 1.3: non compressible (diabetes, ESRD)

1.0-1.29: normal

0. 91-0.99: borderline
1. 41-0.9: mild-mod PAD (diagnose at 0.9)

0-0.4: Severe PAD

Question 7

Ex's Rx: 
F:
I:
T:
T:

Answer 7

F: 1-2x/day; 7 days/week
I: 3+/4 PVD for as long as possible
T: walking, bike (large Mm groups)
T: Intervals, progress to 30-60 min continuous

Question 8

PVD Scale

Answer 8

0: no claudication pn
1: definite discomfort/pain
2: moderate pain; can distract from pain
3: intense pain; can’t distract (but keep exercising)
4: excruciating/unbearable (stop test/ex’s)

Question 9

PAD Ex’s Test Choice

Answer 9

6MWT with PVD Scale

Question 10

Chronic Venous Symptoms

Answer 10

• calf, lower leg
• tired, achy, fullness
• chronic pain increasing through day
• increased with prolonged sitting/standing
• decr with feet up, lying down, walking
• edema, varicose Vv

Question 11

Population at risk for Chronic venous problems

Answer 11

• pregnant
• obese
• prolonged sitting/standing at job
• prolonged bed rest
• CHF
• thrombophlebitis
• varicose Vv
• insult to Vv

Question 12

Acute Arterial Sx

Answer 12

• distal to occlusion
• throbbing
• sudden onset (w/n 1 hour)
• 6 Ps: pain, pulselessness, pallor, paresthesia, paralysis, poikilothermia

Question 13

6 P’s of Acute Arterial Disorders

Answer 13

• pain
• pulselessness
• paresthesia
• poikilothermia
• pallor
• paralysis

Question 14

Populations at risk for acute arterial disorders

Answer 14

• post vascular surgery
• trauma
• chronic A fib
• clot patients

Question 15

Benefits of ex’s with PAD

Answer 15

• incr collateral circulation
• incr muscular efficiency
• incr pt tolerance of anaerobic ex’s
• incr pn threshold
• decr blood viscosity

Question 16

Chronic Arterial Sx

Answer 16

• calf/lower leg/dorsal foot pn
• cramps/intermittent claudication
• reproducible, gradual, chronic
• increased with walking/stairs/activity/feet up
• decr by feet down, rest (w/n 2 min)
• hairless, shiny, cool skin

Question 17

Populations at risk for Chronic Arterial Problems

Answer 17

• HTN
• smoker
• diabetic
• obese
• high cholesterol
• elderly
• male>female

Question 18

Acute venous Sx

Answer 18

• calf
• sharp, intense, deep muscle, tender pain
• sudden onset (w/n 1 hour)
• increased with ankle DF
• red, warm swollen

(DVT)