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17 terms

peripheral vascular disease varicose veins

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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 As the wire is withdrawn the claws open and strip the walls of the vein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.