Episode
HA | PAD vs PVD Only
- Published
- Oct 17, 2025
- Duration seconds
- 1948
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Summary
This episode covers everything PAD vs PVD and highlighting the differences and similarities. 🔎 Big Picture (Pareto) PAD = arterial inflow failure ➜ ischemia. PVD (venous) = return failure ➜ pooling/edema. Position test: PAD pain ↓ with dangling ⬇️🦵; PVD pain/edema ↓ with elevation ⬆️🦵. Skin/ulcers: PAD = pale, cool, shiny, hairless; distal, dry “punched-out” ulcers (toes). PVD = warm, brown (hemosiderin), thick; medial ankle, wet/irregular ulcers. Pulses: PAD weak/absent 🚫; PVD usually present ✅. 🩸 PAD (Peripheral Artery Disease) Patho: Progressive arterial narrowing → ↓ perfusion → claudication → rest pain → CLI. Hallmarks: Intermittent claudication (exertional ischemic pain, resolves ≤10 min with rest), paresthesia, shiny/taut skin, hair loss, elevation pallor & dependent rubor, rest pain worse at night/elevation . CLI red flags: >2 wks rest pain, nonhealing arterial ulcers, gangrene (↑ risk w/ DM, HF, prior stroke). Dx 🧪: ABI = ankle SBP / higher brachial SBP (⚠️ may be falsely high in DM/elderly due to calcification). Doppler/duplex, segmental pressures, (MR)angiography. Procedures: PTA ± stent; surgical bypass (autogenous vein preferred); prostanoids (CLI, not FDA-approved for CLI); conservative CLI care (pain control, infection prevention, protect limb). Nursing priorities 🩺: Post-revasc: Hourly distal pulses, color/temp/cap refill; REPORT new pain, pallor/cyanosis, numbness/tingling, pulse loss ➜ possible acute occlusion. Positioning: Avoid knee flexion , early ambulation, no prolonged sitting. Education: Smoking cessation , daily foot checks, protective shoes (round toe, soft insole), avoid trauma. Symptom relief: Dangle legs for rest pain (gravity aids flow). ♻️ CVI & Venous Leg Ulcers (chronic venous PVD) Patho: Venous hypertension → fluid/RBC leak…