hey guys nurse Mike here and welcome to simplenursing.com now before we get today's lecture started please remember to access your free quiz and preview our cool Nifty new study guides not here on YouTube click the link right up here at any time during this video all right guys let's begin Norma is a 63-year-old female presenting to her primary provider with complaints of pain to her calves when walking up the stairs in her house she said the pain is getting worse and she must frequently take rest breaks even when walking short distances Norma has a history of diabetes hyper lipidemia and hypertension OMG what could it be and what is the first thing you would prioritize in her plant of care today we're wrapping up peripheral vascular disease which is just scarring and narrowing of the peripheral blood vessels like those found in the arms and legs making them really small and stiff and more difficult for blood to get through to the extremities now peripheral vascular disease also called peripheral vascular insufficiency technically an umbrella term used to describe diseases affecting both the veins and the artery now so many students get confused with this so please listen close again PVD stands for peripheral vascular disease which affects both the blood vessels veins and arteries now pbd is also short for a very specific disease called peripheral Venus disease also called peripheral Venus insufficiency it's a disease specific to the veins itself where blood can't get back up to the heart and on the other end p a refers to the narrowed arteries where oxygen can't get down to the distal extremities like the fingers and the toes okay so what's really going on in the body well as you know we have arteries and veins arteries pump oxygen away from the heart and out to the body and veins act like vacuums vacuuming blood back up to the heart into the venne Cava so remember by thinking oxygen away to the body and veins vacuum De oxidated Blood back to the heart so veins naturally have lower pressure as they are vacuum in Blood and arteries naturally have higher pressure as they pump to the body so narrow veins in peripheral Venus disease means we have a problem vacuuming back to the heart so we get blood pulls in the legs like a big old veiny pull party now please write this down this is not an oxygen problem since the arteries are working correctly on the other side of things p a that's the worst problem here guys because it is an oxygen problem the narrowed arteries makes the pumping of oxygen a for away a in the arteries extremely hard so there's no or low oxygen which means esea and then necrosis tissue death this is a way more severe condition than the oxygenated pull party of pbd so p a think bad it's very bad low blood flow means low oxygen and low to no pulses meaning we have cold legs that lack warmth and also sharp Cal pain when walking caused by the lack of oxygen guys pad is the worst now as far as the signs and symptoms pbd is the veins so use the acronym veiny like a veiny arm V for volumptuous pulses meaning the blood is being pumped guys the arteries are fine the veins are the problem here and that's why the legs are warm so that's a huge test tip right here yes we have pulses this means oxygen is getting to the extremity e stands for edema where Blood starts pulling so guys think of an oxygen pull party in PVD I is for irregularly shaped sores so think of this pull party as an exotic pool that has a weird shape which is very different than the boring p a that's just round and smooth now n is for no sharp pain instead we have dull pain so no sharp pain during exercise because guys we don't have an oxygen problem we have oxygen because we have pulses unlike p a where we have a very sharp fan from the lack of oxygen and lastly why is for yellow and brown ankles big test tip right there is the ankles now pad is even worse and everyone knows that so p a think bad because it's bad bad because we have low oxygen in the arteries so use the acronym Arts thanks for watching for our full video and new quiz Bank click right up here to access your free trial and please consider subscribing to our YouTube channel last but not least a big thanks to our team of experts helping us make these great videos all right guys see you next time