Raynaud’s disease (Raynaud’s phenomenon)
- Vasoconstrictive disease.
- Rare condition that affects the arteries – the blood vessels become narrow.
- The amount of blood that flows to the body is affected
- It mainly affects blood flow to fingers and toes.
- More common in women, triggered by cold temperatures and stress.
- Vasospasm leads to pain and pallor in affected extremities
- There may be ulceration of the fingers occasionally
- Color changes of the affected areas,
- Causes of Primary Raynaud’s disease is unknown
- Secondary Raynaud’s disease is more serious.
- Caused by other health issues, medications, or injuries
- Related health issues include – rheumatoid arthritis, scleroderma, Sjögren’s syndrome, or lupus, blood disorders, polycythemia vera, pulmonary hypertension.
Diagnostic tests – Cold stimulation test to trigger an episode
- Medication – Vasodilators (e.g. Nifedipine)
- Teach client to stay warm, avoid cold
- Teach to wear gloves, warm but nonconstructive.
- Encourage the client that smoking cessation is very important.
- Inform client to contact doctor if any sores or ulcers appear on fingers or toes.
Reference: Lewis & Heitkemper, Med-Surg Nursing 2007
Rophem Nursing 😊