nurse's notes

VARICOSE VEINS -

• abnormally dilated veins most commonly occur in the lower extremities or the lower trunk.
• it can also occur to any part of the body like esophageal varices and hemorrhoidal veins

PREDISPOSING FACTOR:

• long standing distension due to back pressure on the veins, on pregnancy, obecity, prolonged standing
• hereditary weakness of the veins
• occupation factor which require long standing like barbers, nurses, beauticians ,elevator assistant

POSSIBLE COMPLICATION:

• edema of the legs
• trauma and infection

SIGNS AND SYMPTOMS:

• disfigurement of the legs
• easy fatigue of the part affected area
• feeling of heavyness
• painful cramps of the legs at night
• pain during menstrual period
• darkened tortuous swollen veins

PREVENTION:

• avoid wearing tight garters, constricting girdle that obstruct venous flow
• avoid cross legs
• avoid sitting and standing for a long period

NURSING CARE AFTER THE STRIPPING PROCEDURE:

• encourage to walk
• carried out prescribed analgesic for pain observed for any signs of hemorrhage at affected site
  
• circulation is observed that dressing must not too constricting