This action might not be possible to undo. Are you sure you want to continue?
. Buerger's disease, also called thromboangiitis obliterans, results in the development of clots (thrombosis) in
the arteries of the hands and/or feet and can lead to serious complications if not treated promptly.
causes and incidence
Buerger¶s disease is caused by vasculitis, an inflammation of blood vessels, primarily of the hands and feet. The vessels become constricted or totally blocked, reducing blood flow to the tissues and resulting in pain and, eventually, damage. This disorder occurs in 6 of every 10,000 people. Incidence is highest among males ages 20 to 40 who have a history of
smoking or chewing tobacco. It may be associated with a history of Raynaud¶s disease and may occur in people with autoimmune disease
Read more at http://www.wrongdiagnosis.com/b/buergers_disease/book-diseases-7b.htm?ktrack=kcplink Diagnosis Patient history and physical examination strongly suggest Buerger¶s disease. Supportive diagnostic tests include: Doppler ultrasonography to show diminished circulation in the peripheral vessels plethysmography to help detect decreased circulation in the peripheral vessels angiography or arteriography to locate lesions and rule out atherosclerosis. Treatment The primary goals of treatment are to relieve symptoms and prevent complications. Such therapy may include an exercise program that uses gravity to fill and drain the blood vessels or, in severe disease, a lumbar sympathectomy to increase blood supply to the skin. Aspirin and vasodilators may also be used. Amputation may be necessary for nonhealing ulcers, intractable pain, or gangrene. Special considerations Strongly urge the patient to stop smoking to enhance the treatment¶s effectiveness. Symptoms may disappear if he stops his tobacco use. If necessary, refer him to a self-help group to stop smoking. Warn the patient to avoid precipitating factors, such as emotional stress, exposure to extreme temperatures, and trauma. Teach the patient proper foot care, especially the importance of wearing well-fitting shoes and cotton or wool socks. Show him how to inspect his feet daily for cuts, abrasions, and signs of skin breakdown, such as redness and soreness. Remind him to seek medical attention at once after any trauma. If the patient has ulcers and gangrene, enforce bed rest and use a padded footboard or bed cradle to prevent pressure from bed linens. Protect the feet with soft padding. Wash them gently with a mild soap and tepid water, rinse thoroughly, and pat dry with a soft towel. Provide emotional support. If necessary, refer the patient for psychological counseling to help him cope with restrictions imposed by this chronic disease. If he has undergone amputation, assess rehabilitative needs, especially regarding changes in body image. Refer him to physical therapists, occupational therapists, and social service agencies, as needed. Book Source Details Book Title: Professional Guide to Diseases (Eighth Edition) Author(s): Springhouse Year of Publication: 2005 Copyright Details: Professional Guide to Diseases (Eighth Edition), Copyright © 2005 Lippincott Williams & Wilkins. Read more at http://www.wrongdiagnosis.com/b/buergers_disease/book-diseases-7b.htm?ktrack=kcplink
THROMBOANGITIS OBLITERANS( BUERGER' DISEASE) THROMBOANGITIS OBLITERANS OR BUERGER'S DISEASEy y y y inflammation of the arteries, veins, adjacent nerves of the extremities and result in thrombus formation and occlusion of the vessels unknown cause maybe a bacterial origin had consider that maybe due to smoking
y y y y
SIGNS AND SYMPTOMS: y leg cramps
( cyanosis bluish discoloration of the skin and mucous membrane due to lack of oxygen in the blood) ulceration and gangrene if progresses NURSING MANAGEMENT: y y y y y y y y y improved circulation protect from trauma to avoid source of infection avoid smoking enough rest increase fluid intake proper foot hygiene socks or stocking must always clean slight massage of the food with moisturizer avoid circular or rolled stocking .y y y y burning pain painful red lumps under the skin cyanosis later.
to keep legs in a slightly dependent position for periods during the day. Recommend the use of moisturizing lotion for dry areas. stress to the patient the importance of allowing adequate time for rest between exercise and of monitoring one¶s tolerance for exercise. They are usually slow in onset.Nursing Care Plan | NCP Arterial Occlusive Disease NLE| BoardExam Home Nursing Arterial occlusive disease. and need for routine laboratory monitoring for anticoagulants. Include the patient¶s family in the plans. Recommend Buerger-Allen exercises. Nursing care plan intervention and treatment Emphasize to the patient the need to quit smoking or using tobacco and limit caffeine intake. teach the patient to decrease as many risk factors as possible. mesenteric. Assess the patient¶s ability to cope with a chronic illness. which may be chronic or acute. Explain that activity improves circulation through muscle contraction and relaxation. Also suggest walking at a slow pace and performing ankle rotations. and knee extensions daily. Treatment is often long and tedious and brings additional concerns regarding finances. Quitting cigarette smoking and tobacco use is of utmost importance and may be the most difficult lifestyle change. Changes in the arterial wall include the accumulation of lipids. Related Posts Nursing Care Plan . may affect the celiac. Primary Nursing Diagnosis of this Nursing care plan: Altered tissue perfusion (peripheral) related to decreased arterial flow. and in particular peripheral Arterial occlusive disease (PAOD). carbohydrates. Exercise also stimulates collateral circulation that increases blood flow to the ischemic area. Contact Me Occlusive diseases are chronic or lead to chronic illness. and vertebral arteries. action. Arterial occlusive Forum disease. and calluses. Recommend maintaining a warm environmental temperature of about 21°C (70°F) to prevent chilling. innominate. Explain why the patient needs to avoid pressure on the affected extremity and vigorous massage. carotid. or ulcerations to prevent advanced disease with necrosis. lesions. to avoid crossing the legs at the knees or ankles. Nursing care plan discharge and home health care guidelines To prevent arterial occlusive disease from progressing. If intermittent claudication is present. Provide good skin care. Teach the patient to avoid elevating the legs or using the knee Gatch on the bed. Advise the patient to wear cotton socks and comfortable. Medical follow-up is necessary at the onset of skin breakdown such as abrasions. protective shoes at all times and to change socks daily. adverse effects. Behavior modification techniques and support groups may be of assistance with lifestyle changes. using measures to prevent trauma and reduce stress. including the dosage. curtailment of usual social outlets. Ensure that the patient understands that the condition is chronic and not curable. and much irreversible vascular damage may have occurred before symptoms are severe enough to bring the patient for treatment. Recommend 30 to 40 minutes of activity with warm-up and cool-down activities on alternate days. Advise the patient to seek professional advicefor thickened or deformed nails. route. The patient also needs to know that arterial disorders are usually chronic. is characterized by Care Plan reduced blood flow through the major blood vessels of the body because of an obstruction or narrowing of the NCLEX lumen of the aorta and its major branches. Be sure the patient understands all medications. ankle pumps. corns. and innumerable other problems. Stress the importance of avoiding the application of direct heat to the skin. blood components. subclavian. and fibrous tissue in the endothelial lining. and to wear support stockings. Exam calcium. Stress the importance of adhering to a balanced exercise program. Stress the importance of regular aerobic exercise to the patient. blisters. and recommend the use of padding for ischemic areas. and demonstrate meticulousfoot care. and teach the patient to monitor and protect the skin. if indicated.
However. there have been recent observations that have led scientists to believe there is a genetic. called "bidi. exposure to tobacco is essential for both initiation and progression of the disease. The notion that the condition is linked to tobacco is supported by the fact that the disease is more common in countries with heavy use of tobacco. I felt that it did not focus on the specific "pathophysiological" aspect of your question. have increased cellular sensitivity to types I and III collagen. as well as an immunologic component. HLA-A54. The disease mechanism underlying Buerger disease remains unclear. To that extent. have elevated serum anti±endothelial cell antibody titers. The exact etiology of Buerger disease is unknown. Certainly. homemade from raw tobacco.I should explain why I'm answering this since the first answer does provide valid information regarding this condition. y 3 years ago . It is a very common among natives of Bangladesh who smoke a specific type of cigarettes. Patients with the disease show hypersensitivity to injected tobacco extracts." A few cases have been reported in nonsmokers that have been attributed to the use of chewing tobacco. progression is largely under the patient's control. and HLA-B5 has been observed in these patients suggesting the genetic component. and have impaired peripheral vasculature endothelium-dependent vasorelaxation. Increased prevalence of HLA-A9.
This action might not be possible to undo. Are you sure you want to continue?
We've moved you to where you read on your other device.
Get the full title to continue reading from where you left off, or restart the preview.