Nursing

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Precipitating Factors: Gender: Women Age: 15-30 y/o Family History

Deficient Knowledge: Disease process r/t chronic smoking, too much exposure to cold environment & stress.

Predisposing Factors: Cold/Stress Intrinsic Vascular Wall Hyperactivity

Smoking Released Chemicals

Associated diseases such as: Scleroderma & Lupus.

Vasospasm Vasoconstriction Decrease Blood Supply Acute Pain r/t decrease 02 supply to the tissues.

Tissue Hypoxia

Initial Discoloration of digits Numbness/tingling of fingers

Cyanotic Hyperemia

Arteries dilate slowly Complete stoppage of Arterial spasm

compensated by: Increase HR Overtime/Chronic >Cold-stimulation test >Nail fold Capillaroscopy >Antinuclear antibodies test >Erythrocytes Sedimentation rate

Small Vessel/Thickens Farther Vasospasm REYNAUDS DISEASE Risk for Impaired Skin Integrity r/t decrease oxygen & nutrient supply in the Integumentary system.

Ulcerations
Legend: S/sx --Factors -NCP --Dx Test ---

Gangrene

---Rey Mark Talaroc BSN-3A

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