S.P.'s primary care provider has seen him and wants you to ...

[tiara099]

S.P.'s primary care provider has seen him and wants you to schedule him for an ankle-brachial index (ABI) test to determine the presence of arterial blood flow obstruction. You confirm the time and date of the procedure and then call S.P. at home.
 
  What will you tell S.P. to do to prepare for the tests?

Question 2

You ask further questions about the clinical manifestations of PAD. Which of these would you expect S.P. to have, given the diagnosis of PAD? Select all that apply.
 
  a. Dependent rubor
  b. Paresthesia
  c. Constant, dull ache in his calf or thigh
  d. Rest pain at night
  e. Pruritus of the lower legs
  f. Elevation pallor

[djofnc]

Answer to Question 1

Instruct him not to smoke for at least 30 minutes before the test because nicotine creates
constriction of the peripheral arteries and alters the test results. In addition, instruct him to wear
clothes that are easy to remove or pull up or down because BP cuffs will be placed on both arms and
legs. He will need to lie still during the test. Inform him that the test is painless and takes about 30
minutes and that he can eat before the test.

Answer to Question 2

Answer: a, b, d, f
Dependent rubor, paresthesia, rest pain at night, and elevation pallor are all clinical manifestations
of PAD. A constant, dull ache in the calf and pruritus are associated with venous disease.