Buerger's disease ( Thromboangiitis obliterans)
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Buerger's disease, or thromboangiitis obliterans, is a vasculitis that primarily affects the arteries and veins in the hands and feet, often triggered by tobacco use. Symptoms include pain, sores, and possible gangrene, with diagnosis based on medical history and imaging tests like angiograms. Treatment focuses on quitting smoking and may include lifestyle changes and surgical options to prevent complications.
![TREATMENT
• Buerger's disease can often be successfully treated
before the development of complications.
• Treatment involves quitting smoking.
• Low cholesterol diet
• Low salt diet
• Physical exercise
• Control weight
• Surgical- Sympathectomy [Transection of
nerve,ganglion]](https://image.slidesharecdn.com/buergersdisease-converted-200429105141/85/Buerger-s-disease-Thromboangiitis-obliterans-8-320.jpg)
Buerger's disease ( Thromboangiitis obliterans)
- 2. BUERGER'S DISEASE Presented by kalyan kumar Msc (N)
- 3. Definition • Buerger's disease is a type of vasculitis in which there is inflammation of the arteries and veins of the hands or feet. Buerger's disease also called thromboangiitis obliterans.
- 4. THE CAUSE OF BUERGER'S DISEASE • Smoking and the use of chewing tobacco. • It is theorized that tobacco triggers an autoimmune reaction, in which the body's immune system mistakes healthy tissues as potentially dangerous invades into the body and attacks them. • This causes inflammation and the development of clots in the arteries and veins of the hands and feet that are characteristic of Buerger's disease. • Buerger's disease occurs most often in young adult men who are heavy cigarette smokers.
- 5. PATHOPHYSIOLOGY • Healthy arteries and veins are critical to supplying vital oxygen and nutrients to cells and tissues and removing waste products. • This circulation is key to the health of the cells and tissues of the hands and feet. • Buerger's disease interferes with circulation leading to ischemia of cells and tissues. • In ischemia, cells are unable to reproduce normally recover effectively from injury,and fight infection.
- 6. SYMPTOMS OF BUERGER'S DISEASE • Pain in the hands and feet and the development of sores or lesions that do not heal. • If Buerger's disease is left untreated, gangrene (tissue death) can occur. • Intermittent leg pains • Leg numbness • Leg tingling • Leg burning • Leg paresthesias
- 7. DIAGNOSIS • Medical history • Tobacco use history • Physical examination • Diagnosis of Buerger's disease is based on medical history and examination combined with ruling out a variety of other diseases and conditions, such as Raynaud's phenomenon and other types of vasculitis. • CBC • A test called an angiogram may be performed to assist in diagnosis of Buerger's disease. • An angiogram is an imaging test that creates a picture of the arteries and can reveal the artery damage and blockages in the hands and feet that are typical of Buerger's disease.
- 8. TREATMENT • Buerger's disease can often be successfully treated before the development of complications. • Treatment involves quitting smoking. • Low cholesterol diet • Low salt diet • Physical exercise • Control weight • Surgical- Sympathectomy [Transection of nerve,ganglion]
- 9. Complications • Review possible medical complications related to Buerger's disease: • Leg blood clots • locked leg arteries • Finger ulcers • Toe ulcers • Toe gangrene • Foot gangrene
- 10. NURSING MANAGEMENT • Assessing & monitoring anti coagulant therapy • Providing comfort • Applying elastic compression stocking • Positioning the body & encouraging exercise • Identify risk factors predisposing patient to DVT, reevaluate status frequently • Implement ordered prophylactic regimen Non- pharmacological & pharmacological • Assess all of the patients extremities on a regular basis • Encourage early ambulation & active leg exercise every hour the patient is awake . • Monitor for low grade fever to detect thrombophlebitis • Encourage fluid intake. • Use of knee gatch (or) pillows under the knees.
- 11. NURSING DIAGNOSIS • Acute pain related to venous congestion,impaired venous return and inflammation. • Ineffective health maintenance related to lack of knowledge about disorder and its treatment. • Risk for impaired skin integrity related to peripheral tissue perfusion. • Risk for potential bleeding related to anticoagulant therapy.