1. Peripheral Vascular Disease
Marnelle Joy S. Pulmano, BSN, RN

2. OVERVIEW

3. Definition
• A disease of the peripheral blood
vessels
• Characterized by narrowing and
hardening of the arteries that supply
the legs and feet
• The decreased blood flow results in
nerve and tissue damage to the
extremeties

4. Incidence
• PVD is a very common
disorder
• Most common in men
over 50 years of age

5. Onset
• PVD has a gradual onset
• Initially asymptomatic until
secondary complications develop

6. Etiology
• Atherosclerosis is the primary
cause of CVD
• Risk Factors:
– Smoking, diabetes, hyperlipidemia,
CAD, A-fib, CVA, renal disease

7. Clinical Findings
• Intermittent claudication
– Leg pain upon activity, which is
relieved by rest
• Weak or absent peripheral pulses
• Pallor or cyanosis

8. Clinical Findings
• Numbness
• Cool extremities
• Minimal to no hair growth in
extremities

9. NURSING FOCUS

10. • Assess and monitor distal
circulation and sensory and motor
function
• Prevent pressure sores
– Frequent position changes
– Assessment
• Encourage and assist with frequent
ambulation

11. PATIENT TEACHING

12. • Provide patient and family with
literature on PVD
• Encourage light to moderate
activity alternated with periods of
rest
• Explain options available for
smoking cessation

13. • Teach patient to reduce intake of
saturated fats, trans fat, cholesterol
• Explain proper foot care:
– Wearing shoes that fit properly
– Avoid open-toed or heeled shoes
– Keep feet clean and dry
– Minimize risk of injury

14. – Never go barefoot
– Inspect bottom of feet daily for
injuries
• Encourage leg exercises and
walking regimen
– Ankle rotation
• Explain the dosage, route, action,
adverse reaction of meds