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  • Arterial Occlusive Disease

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    Janel Tam
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    Acute arterial occlusion can occur due to predisposing factors like age, genetics, and lifestyle factors such as smoking, sedentary lifestyle, and high fat diet. These precipitate conditions like hypertension, diabetes, obesity, and hyperhomocysteinemia which promote coagulation and deposition of lipids in arterial walls. Over time, this leads to thrombus formation, narrowing of arteries, and reduced blood flow resulting in ischemia, pain, and potential tissue death or gangrene in extremities. Treatment involves management of risk factors, medications like aspirin and clopidogrel, and potentially surgical procedures like embolectomy or arteriotomy.

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    Acute arterial occlusion can occur due to predisposing factors like age, genetics, and lifestyle factors such as smoking, sedentary lifestyle, and high fat diet. These precipitate conditions like hypertension, diabetes, obesity, and hyperhomocysteinemia which promote coagulation and deposition of lipids in arterial walls. Over time, this leads to thrombus formation, narrowing of arteries, and reduced blood flow resulting in ischemia, pain, and potential tissue death or gangrene in extremities. Treatment involves management of risk factors, medications like aspirin and clopidogrel, and potentially surgical procedures like embolectomy or arteriotomy.

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    154 views3 pages

    Arterial Occlusive Disease

    Uploaded by

    Janel Tam
    Acute arterial occlusion can occur due to predisposing factors like age, genetics, and lifestyle factors such as smoking, sedentary lifestyle, and high fat diet. These precipitate conditions like hypertension, diabetes, obesity, and hyperhomocysteinemia which promote coagulation and deposition of lipids in arterial walls. Over time, this leads to thrombus formation, narrowing of arteries, and reduced blood flow resulting in ischemia, pain, and potential tissue death or gangrene in extremities. Treatment involves management of risk factors, medications like aspirin and clopidogrel, and potentially surgical procedures like embolectomy or arteriotomy.

    Copyright:

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    of 3

    ACUTE ARTERIAL OCCLUSION

    Age: >65 y.o, Gender: Male Familial Disposition/ Genetics Stress


    Accompanied with 6
    lead to

    Diet -High Fat diet

    Sedentary Lifestyle

    Smoking/Nic otine use


    leads to leads to

    Hyperhomoc ysteinemia

    Diabetes Mellitus
    Results to

    Obesity
    Development Fatty Streaks of Lipids

    Hypertension

    Decreased blood flow to the extremities, Increase HR, and BP


    results to

    promotes Coagulation by increasing factor V and factor XI activity while depressing protein C activator

    Janel Darren B. Tampos BSN3A Presentor

    Will be deposited 5 Intima of Arterial Walls lead to Injury to the vascular endothelium attracts Inflammatory cells presence Macrophages infiltrate the injured vascular endothelium releases Biochemical Substances, damages the endothelium resulting to Attracts platelets and initiates clotting

    Clot formation by increasing the aggregation of platelets leads to Excessive accumulation of platelets/ clotting results to Thrombus formation leads to Emboli 2 4 may lead to Ischemia

    Narrowing of the artery results to Peripheral pressure leads to Increased the binding of lipoprotein in fibrin

    Pentoxifylline Heparin

    Upper extremities: Ataxia, vertigo, syncope, bilateral visual changes

    Occlusion of the arterial lumen

    Pain, pallor, pulselessness, paresthesia, paralysis, coolness

    ABI
    CT

    3 would result to Ischemic Necrosis


    Gangrene, cyanotic, dimished hair and nail growth

    Arteriotomy may occur

    Embolectomy

    Right Common Carotid

    Vertebral

    Right Subclavian

    Aortic Arch

    Celiac Trunk

    Right Renal

    Superior Mesenteric

    Common Femoral

    Deep Femoral

    Superficial femoral

    Posterior Tibial

    Anterior tibial

    Left common iliac

    Internal Iliac

    Legend: Predisposing Factors Precipitating Factors Pathophysiologic Flow S/sx

    Dx Tests Medical Management

    Surgical Management

    Nursing Diagnosis

    Nursing and Medical Managements: -Smoking Cessation -Management of Diabetes -Management of Hypertension -Management of Cholesterol --Aspirin and Clopidrogel -Regular Exercise --Treadmill exercise (35 to 50 minutes, 3 to 4 times per week)

    Nursing Diagnoses:
    1. Chronic Pain r/t the occlusion of the arterial lumen 2. Ineffective peripheral tissue perfusion r/t compromised circulation 3. Activity Intolerance r/t decreased oxygen supply to the peripheral tissues 4. Risk for injury r/t decreased oxygen and nutrient transportation to the brain 5. Impaired skin integrity r/t death of the tissues 6. Knowledge Deficit r/t the extent of the disease

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