Assess for arterial insufficiency

• PAD - Peripheral Arterial Disease
• !CLI - Critical Limb Ischemia (6Ps, 6h)

$Pedal/Brachial$

Compare highest pedal (DP, PT) pressure with highest brachial pulse

• Blood Pressure Cuff

• Doppler US to detect pulse

  • 1.3 = stiff/non-compressible arteries/unreliable reading

  • 0.9 - 1.3 = normal/no ischemia

  Interpretation

  < 0.9 = non-limb threatened ischemia (claudication)

  • 0.8 = mild

  • 0.5 = moderate

  < 0.5 = threatened limb

  • 0.25 = severe

  • < 0.25 = very severe