Chronic Venous Insufficiency

Pathophysiology
1. Arteries bring oxygen-rich blood from you heart to the rest of your body
  1. veins return oxygen-poor blood back to your heart
    1. when your leg veins cannot pump enough blood back to your heart
      1. you have CVI
2. Epidemiology
  1. Blood pressure higher than normal long term inside your legs
  2. valve damage
    1. back flow of blood
  3. A Deep Vein Thrombosis or Phlebitis
    1. raise pressure and obstruct the flow
symptoms
1. ankles may swell
2. calves feel tight
3. legs may feel heavy
4. tired
  1. restless
  2. achy
5. pain while walking or shortly after stopping
Risk factors
1. family history
  1. overweight
    1. pregnant
      1. not excercising
        smoking
        standing or setting for long periods of time
        age
        gender
2. CVI affects women more over age 30
diagnosis
1. health history
  1. physical assessment
    1. measure blood pressure in bilateral legs
      1. duplex ultrasound
        a venogram
treatment
1. compression stockings for mild CVI
2. sclerotherapy
  1. abalation
    1. vein stripping
      1. bypass
        valve repair
3. angioplasty and stenting
clinical presentation
1. leg pain when walking or standing
  1. relieve with rest

Resource summary

	Created by nanarn1 over 10 years ago