Tag Archives: Raynaud’s disease

Raynaud’s disease

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.

Symptoms

  • Vasospasm leads to pain and pallor in affected extremities
  • There may be ulceration of the fingers occasionally
  • Color changes of the affected areas,

Causes

  • 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

Treatment

  • Medication – Vasodilators (e.g. Nifedipine)

Nursing Interventions

  • 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.

References

Reference: Lewis & Heitkemper, Med-Surg Nursing 2007

Rophem Nursing 😊

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