peripheral vascular disease varicose veins

17 terms by taniayser 

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definition

varicosities- irregular, tortuous veins, with incompetent valves
commonly froun women

VV risk factors

genetic, congenital abnormalities, pregnancy, obesity, constrictive clothing, and occupation

varicose veins treatment

support hose, elevation of legs, not crossing legs and leg/ankle exercises
Conservative treatment includes wearing elastic stockings and elevating the legs, exercise, prevent long periods of standing

sclerotherapy

injection of chemical to hardened the vein
compression bandage

sclerotherapy complication

vasospasm, necrosis and hemolysis

vein ligation complications

thrombus or leg ulcers, scarring, nerve damage in leg, same risk w/ any surgery ie infection, bleeding, anesthesia risks

vein ligation def

- tie off an affected vein with a suture

vein stripping def

use of a wire w/ claws on the end. As the wire is withdrawn the claws open and strip the walls of the vein

vein ligation & stripping procedures

an outpatient basis. Typically done on large varicose veins

vein ligation & stripping causes for operation

Legs ache, swell, or feel heavy especially after standing for long periods of time
A varicose vein that bleeds
Problems with venous ulcers due to poor venous circulation
Damaged vein

vein ligation & stripping risk operation

Scarring or varicose veins recurring, damage that causes problems w/ circulation, same risks associated w/ general surgery ie infection, bleeding, anesthesia risks

varicose vein s/s

s/s distended, protruding veins that appear darkened and tortuous, pain, feeling of fullness in legs, cramping at night.

varicose vein risk factors

prolonged standing, pregnant women, heart disease, obese patients, and family history.

Neovascularization

the development of new, tiny blood vessels -- may occur at the site of sclerotherapy treatment. These tiny veins can appear days or weeks after the procedure, but should fade within three to twelve months without further treatment.

contact doctor any symptoms occur

Inflammation within five inches of the groin
A sudden onset of a swollen leg
Formation of small ulcers at the injection site.

reinforce teaching

Wear heavy compression stockings after the procedure to "compress" the treated veins. Following the injections, avoid aspirin, ibuprofen, or other anti-inflammatory drugs for at least 48 hours. Tylenol may be used if needed. For the first 48 hours avoid: hot baths, hot compresses, whirlpools or saunas, direct exposure to sunlight.

d/c teaching

teaching - encourage walking, limit sitting, avoid standing in one spot and elevate the legs when sitting.

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