RAYNAUD’S DISEASE & BUERGER’S DISEASE

RAYNAUD’S DISEASE

  • Vasospasms of the arterioles and arteries of the upper and lower extremities
  • It causes constriction of the cutaneous vessels.
  • It attacks intermittent and occur with exposure to cold or stress
  • It affects fingers, toes, ears, and cheeks

Signs and symptoms

  • Blanching of extremity, followed by cyanosis, during vasoconstriction
  • Reddened tissue when the vasospasm is relieved
  • Numbness, tingling, swelling, and a cold temperature at the affected body part

Management

  • Administer vasodilator as prescribed
  • Instruct the client to avoid cold and stress
  • Avoid smoking
  • Advice the client to avoid injury to the finger and hand, provide warm clothing, socks, and gloves in cold weather
  • Monitor pulse

BUERGER’S DISEASE

  • It is an occlusive disease of the median and small vessels (arteries and vein)
  • Most commonly affected in distal upper and lower extremity.

Signs and symptoms

  • Ischemic pain in digits (finger and toes) during rest
  • Aching pain, that is more severe at night
  • Cool, numbness or tingling sensation
  • Diminished pulses in the distal extremity and cold to touch
  • Development of ulceration in the extremity

Management

  • Administration of vasodilator
  • Promote blood circulation
  • Stop smoking and avoid injury to extremity
  • Monitor pulses in the extremity

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