52. Normal Sinus Rhythm Heart Rate 60 - 100 bpm Rhythm Regular P Wave Before each QRS & identical PR Interval (in seconds) 0.12 to 0.20 QRS (in seconds) < 0.12
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80. Peripheral Vascular Disease SYMPTOMS PAIN PAIN RELIEF EDEMA PULSES INTEGUMENT CHANGES ULCERS SKIN TEMPERATURE SEXUAL ISSUES ARTERIAL Upon walking On resting, standing or dependent position of lower limbs None Decreased or absent Hair loss Skin shiny Nail thickening Pallor when elevated Red when dependent Ulcers located on toes, lateral areas or site of trauma Gangrene possible Cool Impotency Sexual dysfunction VENOUS While standing Elevation of extremities Present, edematous May be difficult to palpate Brownish pigmentation May be cyanotic when extremities are dependent Ulcers located on ankles, medial or pre-tibial areas Normal or warm Not present