Raynauds and Buerguers Disease

You are on page 1of 3
At a glance
Powered by AI
Raynaud's disease causes blood vessels, usually in the fingers and toes, to narrow in response to cold or stress, preventing blood flow and causing discoloration. Buerger's disease affects blood vessels in the arms and legs, causing swelling and potential clots, pain, tissue damage and gangrene.

Cold fingers or toes and color changes in the skin in response to cold or stress (white or bluish). Also numbness, pain, and skin changes upon warming.

Avoiding cold exposure, smoking cessation, wearing protective gloves and clothing, vasodilator medications, sympathetic nerve blocks, amputations in severe cases.

CHRISTIE V.

MONTANO

RAYNAUDS DISEASE BUERGERS DISEASE

Raynaud's disease is a Buerger's disease (also


rare disorder of the blood known as thromboangiitis
vessels, usually in the fingers obliterans) affects blood
vessels in the body, most
and toes. It causes the blood commonly in the arms and
vessels to narrow when you legs. Blood vessels swell,
are cold or feeling stressed. which can prevent blood flow,
When this happens, blood causing clots to form. This can
can't get to the surface of the lead to pain, tissue damage,
skin and the affected areas and even gangrene (the death
or decay of body tissues).
turn white and blue.

Causes & Risk Factors Autoimmune or Tobacco smoker


connective tissue particularly those
diseases: lupus, heavy smokers
scleroderma, Occurs often in men
polymyolitis, blood between 20 and 35
disorders, thyroid years of age
disorders, pulmonary
hypertension,
rheumatoid arthritis,
Sjogren syndrome and
atherosclerosis
Chemical exposure
Cigarette smoking
Injury of trauma
Repetitive actions
Side effects from
certain medicines

Signs  Cold fingers or toes  Pain in the hands and


&  Color change in the feet may feel like
Symptoms skin in response to burning or tingling
cold or stress ( white  Pain in the legs,
or bluish) ankles, or feet when
 Numb, prickly or walking – often
stinging pain upon located in the arch of
warming or stress the foot
relief  Inflamed veins,
ulceration and
gangrene
 Open sores on the
toes and fingers
 Skin changes (rubor)
or small painful sores
on the fingers or toes
 Fingers or toes that
appears pale, red, or
bluish

Interventions

 MEDICAL  Avoiding exposure to  Smoking cessation


cold  Conservative
 Keeping warm with debridement of
gloves, socks, scarf, necrotic tissue to treat
and a hat during ulceration and
extreme weathers. gangrene
 Smoking cessation  Regional sympathetic
 Wearing finger guards block or
over the sores ganglionectomy
 Avoiding trauma or produces vasodilation
vibrations to the hand and increases blood
such as jack hammer flow
 Taking blood pressure  Sympathectomy to
medicines during eliminate pain
winter season  Angiogram
 Limb amputation for
severe gangrene

 PHARMACOLOGIC
 Vasodilators  Vasodilators
Captopril (CAPOTEN) Captopril (CAPOTEN)
Lisinopril (PRINIVIL) Lisinopril (PRINIVIL)
Benazepril (LOTENSIN) Benazepril (LOTENSIN)

 Anticoagulants  Anticoagulants
Heparin Heparin
Warfarin (COUMADIN) Warfarin (COUMADIN)

 NURSING o Educate the patient o Encourage the patient


about the dangerous to stop smoking.
side effects of o Advise the patient to
cigarette smoking eat nutritious foods
relating to the disease. and to do physical
o Encourage the patient activities and
to stop smoking exercises.
o Remind the patient to o Educate the patient
wear warm clothes the harmful effects of
during winter season cigarette smoking in
like thermal association with the
shirt/jackets, gloves, disease
bonnets, scarfs and o Assist the patient
the like during surgical
o Advise the patient to procedures.
engage in exercise and
healthy diet

You might also like