Bp Case Study Essay

1. The likely source of his calf pain and his hip pain is that he has a history of PVD which is a chronic condition in which partial or total arterial occlusion deprives the lower extremities of oxygen and nutrients. He also has a history of atherosclerosis and it is the most common cause of chronic arterial obstruction. Common risk factors are hypertension, hyperglycemia, and diabetes mellitus, smoking cigarettes, and being obese. S.P. does smoke, he has hypertension, and he has elevated cholesterol levels which lead to atherosclerosis. This is causing his calf and hip pain. He is also overweight. These symptoms also known as intermittent claudication occurs because there is not enough blood flow to the leg muscles during exercise.
2. Two risk factors for claudication are his increasing blood pressure and his high cholesterol. They are risk factors
a,b,c,d and f.
4. S.P would complain of pain in the foot and calf’s.
5. The purpose of aspirins is to decrease inflammation and prevent blood clots.
6. You may want to wear loose, comfortable clothing that allows the technician performing the ankle-branchial index test to easily place a BP cuff on your ankle and upper arm. Having an ABI is painless and similar to getting your BP taken in a routine visit.
7. His ABI results indicate a diagnostic of PVD.
8. I would address methods to promote vasodilation. I would teach him to avoid raising legs above the level of the heart unless venous stasis is present. I would encourage patient to stop smoking because it is the most effective way to prevent vasoconstriction. I would tell him to limit dietary fat intake to less than 30% of total daily calories. I would remind him to drink adequate liquids to prevent dehydration and to increase blood viscosity. I would recommend a physical therapist to increase exercise. Also I would recommend decreasing cholesterol intake because it reduces the formation of plaque to the arteries. I would also address to decrease his blood