Vascular Disease for Progressive Care Certified Nurse (PCCN)
Included In This Lesson
Outline
Vascular Disease
Definition/Etiology:
- Definition
- partial or total occlusion of an artery
- PCCN Test focus
- PAD – arms/legs
- Carotid Artery Stenosis
- Etiology
- Atherosclerosis – Causes
- HTN
- Smoking
- DM
- Atherosclerosis – Causes
Pathophysiology:
- Atherosclerosis
- Fatty material (i.e., plaque) builds up on the walls of the arteries and makes them narrower
- Stiff arteries = low FLOW
- Think of a hose
Noticing: Assessment & Recognizing Cues:
- Subjective Cues
- PAD
- Chronic vs Acute
- Chronic = intermittent claudication – Pain increases with exercise
and decreases with rest - Acute = Sudden
- Chronic = intermittent claudication – Pain increases with exercise
- Chronic vs Acute
- Carotid Arterial Stenosis
- Asymptomatic until Stroke
- PAD
- Objective Cues
- PAD
- ankle-brachial index
- Neurovascular 5 P’s
- Poor skin integrity
- Carotid Arterial Stenosis
- Stroke-like symptoms
- PAD
Interpreting: Analyzing & Planning:
- Labs
- Cholesterol
- Lipids
- Diagnostics
- Traditional Doppler Ultrasound
- Duplex Ultrasound – looks closer at bloodflow
- Ankle-Brachial Index (PAD)
Responding: Patient Interventions & Taking Action:
- Pharmacological Interventions
- Antihypertensives
- Statins
- Calcium Channel Blockers
- Narcotics
- Non-Pharmacological
- Angioplasty/Balloon with possible Stent
- Endarterectomy
- Bypass
Reflecting: Evaluating Patient Outcomes:
- ABCs
- PAD
- Neurovascular 5 P’s
- Carotid Artery
- Cranial Nerves
- LOC
- PERRLA
- Visual Changes
- Dysphasia
- Aphasia
- Headache
- All procedures
- Post-Op: Infection or Bleeding
- Smoking cessation
Linchpins (Key Points):
- Notice
- Peripheral or Cerebral symptoms
- Interpret
- Labs & Vascular studies
- Respond
- Pharmacology & Procedure
- Reflect
- Perfusion + Post – Surgical
Transcript
References
- AACN, and Tonja Hartjes. AACN Core Curriculum for Progressive and Critical Care Nursing. Available from:
Pageburstls, (8th Edition). Elsevier Health Sciences (US), [Insert Year of Publication]. - Dennison, R. D., & Farrell, K. (2015]). Pass PCCN!. Elsevier Health Sciences (US).
- Knippa, S., Rauen, C. A., & Flynn Makic, M. B. (2018). Is It Better to Give or to Receive?. Critical Care Nurse, 38(6), 67-71.
- Kupchik, N. (2020). Ace The Pccn! you can do it!: Study guide. Nicole Kupchik Consulting, Inc.
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System