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    BUERGER's Disease

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    chemniko
    Buerger's disease, also known as thromboangiitis obliterans, is a condition characterized by recurring inflammation and blockage of small and medium arteries and veins, usually in the legs. It primarily affects young male smokers and causes pain, discoloration, and potentially ulceration and gangrene from reduced blood flow. Diagnosis involves tests like arteriography and ultrasound. Treatment focuses on quitting smoking, medications to improve blood flow, and potentially amputation of gangrenous tissue. Nurses monitor for pain and complications while educating patients about foot care, rest, and avoiding further injury.

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    BUERGER's Disease

    Uploaded by

    chemniko
    2K views2 pages
    Buerger's disease, also known as thromboangiitis obliterans, is a condition characterized by recurring inflammation and blockage of small and medium arteries and veins, usually in the legs. It primarily affects young male smokers and causes pain, discoloration, and potentially ulceration and gangrene from reduced blood flow. Diagnosis involves tests like arteriography and ultrasound. Treatment focuses on quitting smoking, medications to improve blood flow, and potentially amputation of gangrenous tissue. Nurses monitor for pain and complications while educating patients about foot care, rest, and avoiding further injury.

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    example of peripheral vascular disease

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    Buerger's disease, also known as thromboangiitis obliterans, is a condition characterized by recurring inflammation and blockage of small and medium arteries and veins, usually in the legs. It primarily affects young male smokers and causes pain, discoloration, and potentially ulceration and gangrene from reduced blood flow. Diagnosis involves tests like arteriography and ultrasound. Treatment focuses on quitting smoking, medications to improve blood flow, and potentially amputation of gangrenous tissue. Nurses monitor for pain and complications while educating patients about foot care, rest, and avoiding further injury.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views2 pages

    BUERGER's Disease

    Uploaded by

    chemniko
    Buerger's disease, also known as thromboangiitis obliterans, is a condition characterized by recurring inflammation and blockage of small and medium arteries and veins, usually in the legs. It primarily affects young male smokers and causes pain, discoloration, and potentially ulceration and gangrene from reduced blood flow. Diagnosis involves tests like arteriography and ultrasound. Treatment focuses on quitting smoking, medications to improve blood flow, and potentially amputation of gangrenous tissue. Nurses monitor for pain and complications while educating patients about foot care, rest, and avoiding further injury.

    Copyright:

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    Download as DOC, PDF, TXT or read online from Scribd
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    BUERGER’S DISEASE

    Brief Introduction:

    It is also known as “thromboangiitis obliterans”. It is a vasculities of small and medium-size


    veins and arteries of young adults. It is characterized by recurring inflammation of the intermediate and
    small arteries and veins of the lower and (in rare cases) upper extremities. The disease process starts
    distally and progresses cephalad, involving both upper and lower extremities. It usually occurs in males
    who are 25-40 years old due to heavy smoking which causes vasoconstriction thereby interrupting of
    decreasing the blood flow to the parts of the body and it also affects the immune response which may
    work exaggerately. However, it is can also occur in females as to the report of increasing frequency of
    young female smokers. Obesity may that may lead to atherosclerosis.

    Signs and symptoms:

     Pain- it is the most outstanding symptom - due to intermittent claudication.

     Rest pain with persistent ischemia of 1 or more digits - due to occlusion of decreases blood flow.

     Paresthesia – due to diminished nerve sensation.

     Finger’s and toes turn pale when exposed to cold (Raynaud’s phenomenon) – due to decreased
    blood flow as affected by cold temperature.

     Absent or weak tibial pulse

     Cyanosis - ( cyanosis bluish discoloration of the skin and mucous membrane due to lack
    of oxygen in the blood) a later manifestation.

     Ulcerations and gangrene – if there is prolonged insufficient blood supply.

    Diagnostics:

     Arteriography - may indicate a proximal source of emboli. It is the most conclusive diagnostic
    procedure for peripheral vascular diseases.

     Ultrasound - may indicate presence of distal extremity ischemia (indicated by claudication, pain
    at rest, ischemic ulcers or gangrene).

    Medical Management:

     Low cholesterol diet


     Low salt diet
     Physical exercise
     Drug Thrapy -Prostaglandins – Prostaglandin I2 (ilioprost) has antiplatelet and
    vasodilator activity.
    (b) Dextran –It Cause hemodilution, decrease
    blood viscosity and improve microcirculation.
    (c) Praxiline (Niftidrofuryloxalate) – It alter tissue metabolism, increase claudication
    distance by allowing a greater O2 supply to tissue no proved benefit.
    (d) Trental (oxypentifylline) – It has effect on whole blood viscosity by reducing it.
     Physiotherapy
     Amputation - if any gangrene
     Vascular surgery

    Nursing Mangemengent:

     assessing for pain – to monitor if it being tolerated or needs medication to relieve pain.
     obtaining blood pressure – serves as a baseline data for peripheral pulse
     assessing for signs of ulcer formation
     assessing for signs of gangrene

     Quit smoking – to prevent further occlusion of the blood vessels

     Foot care – to decrease the occurrence of infection and gangrene.

     protect from trauma to avoid source of infection

     enough rest

     increase fluid intake

     socks or stocking must always clean

     slight massage of the food with moisturizer

     avoid circular or rolled stocking

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