Peripheral Vascular and Lymphatics Case Study

1.
Palpate the dorsalis pedis pulses.

2.
Pale, cool skin.

3.
Document the presence of the pulse heard by Doppler ultrasound.

4.
Determine the depth of the wound and underlying tissue damage.

5.
Insert a sterile, cotton-tipped applicator to measure the depth.

6.
“Have you experienced any leg cramping or pain in your legs?”

7.
“How far do you walk before the leg cramps begin?”

8.
-“Do your toes..”
-“Do you feel tingling…”

9.
Position a stethoscope over the artery.

10.
Move the finger pads over the area using a gentle circular motion.

11.
Observe and compare the client’s lower extremities.

12.
Compress the tissue more firmly for 5 seconds.

13.
Palpate for a wave transmission with the distal hand.

14.
Document this finding on the physical assessment form.

15.
Blood pressure cuff.

16.
-Stage 2 pressure ulcer.
-Bilateral cyanosis in both legs.

17.
Bilateral parasthesia in the feet.

18.
Document that the node is not palpable.

19.
-“Assess the nodes…”
-“Ask Gloria if any…”

20.
Depress the client’s nailbed.

21.
-Instruct Gloria to…
-Obliterate the ulnar…
-Document that the…

22.
Confirm that Gloria’s arm is more swollen than previously.

23.
Observe the appearance of the left hand.