Intermittent claudication Health Dictionary

Intermittent Claudication: From 4 Different Sources


Lameness or spasmodic pain in the legs when walking a certain distance due to deficient blood supply to the muscles. Associated with artery disorders, muscular weakness. The diseased artery cannot carry enough blood to supply the oxygen needs of the muscles.

Treatment. Circulatory stimulants. Vaso-dilators.

Alternatives. BHP (1983) – Prickly Ash bark, Cramp bark, Black Cohosh, Angelica root, Hawthorn, Wild Yam. Prophylactic – Garlic.

Decoction. Mix, equal parts: Black Cohosh, Prickly Ash bark, Hawthorn berries. One teaspoon to each cup of water simmered gently 20 minutes. Half-1 cup thrice daily.

Formula. Hawthorn 2; Black Cohosh 1; Prickly Ash 1. Dose: Powders: 500mg (two 00 capsules or one- third teaspoon). Liquid Extracts: one 5ml teaspoon. Tinctures: two 5ml teaspoons. Thrice daily in water or honey.

Tablets/capsules. Prickly Ash. Hawthorn. Black Cohosh. Garlic, 2 at night. Cramp bark. Ginkgo.

Life Drops. 3-10 drops in cup of tea to relieve spasm.

Ginkgo biloba. “Walking distance is definitely increased.” (Rudolf F. Weiss MD. Herbal Medicine, Beaconsfield Publishers)

Garlic. 80 patients with symptomatic state II occlusive disease (claudication), randomised, to take either Garlic powder 800mg a day in tablet form (equivalent to Kwai) or placebo for 12 weeks. A significantly greater improvement in walking distance, apparent after just 4 weeks, occurred in the Garlic-treated group compared with the placebo group. (Professor H. Kiesewetter, Department of Clinical Haemostasiology, University of Saarland, Germany)

Diet. Lacto-vegetarian.

Supplements. Vitamin E, 400iu morning and evening.

General. Venesection sometimes necessary. No smoking or alcohol. See: BUERGER’S DISEASE, RAYNAUD’S DISEASE, ARTERIOSCLEROSIS, PHLEBITIS, THROMBOSIS. 

Health Source: Bartrams Encyclopedia of Herbal Medicine
Author: Health Encyclopedia
A cramping pain in the legs due to inadequate blood supply (see claudication).
Health Source: BMA Medical Dictionary
Author: The British Medical Association
A condition occurring in middle-aged and elderly people, which is characterised by pain in the legs after walking a certain distance. The pain is relieved by resting for a short time. It is due to arteriosclerosis (see ARTERIES, DISEASES OF) of the arteries to the leg, which results in inadequate blood supply to the muscles. Drugs usually have little e?ect in easing the pain, but useful preventive measures are to stop smoking, reduce weight (if overweight), and to take as much exercise as possible within the limits imposed by the pain.
Health Source: Medical Dictionary
Author: Health Dictionary

Claudication

A cramp-like pain that occurs in the legs on walking. It may cause the sufferer to limp or, if severe, stop him or her from walking. The usual cause is narrowing or blockage of the arteries in the legs due to ATHEROSCLEROSIS: smoking is a contributary factor. Intermittent claudication occurs when a person has to stop every so often to let the pain – caused by the build-up of waste products in the muscles – to subside. The condition may be improved by exercise, for example, for an hour a day (resting when the pain starts). Pentoxifylline, a vasodilator, may help, as may CALCIUM-CHANNEL BLOCKERS. Patients must avoid all tobacco products.... claudication

Intermittent Fever

A regularly recurring fever... intermittent fever

Intermittent

A term applied to fevers which continue for a time, subside completely and then return again. The name is also used in connection with a pulse in which occasional heartbeats are not felt, in consequence of irregular action of the heart.... intermittent

Intermittent Positive Pressure (ipp)

The simplest form of intermittent positive-pressure ventilation is mouth-to-mouth resuscitation (see APPENDIX 1: BASIC FIRST AID) where an individual blows his or her own expired gases into the lungs of a non-breathing person via the mouth or nose. Similarly gas may be blown into the lungs via a face mask (or down an endotracheal tube) and a self-in?ating bag or an anaesthetic circuit containing a bag which is in?ated by the ?ow of fresh gas from an anaesthetic machine, gas cylinder, or piped supply. In all these examples expiration is passive.

For more prolonged arti?cial ventilation it is usual to use a specially designed machine or ventilator to perform the task. The ventilators used in operating theatres when patients are anaesthetised and paralysed are relatively simple devices.They often consist of bellows which ?ll with fresh gas and which are then mechanically emptied (by means of a weight, piston, or compressed gas) via a circuit or tubes attached to an endotracheal tube into the patient’s lungs. Adjustments can be made to the volume of fresh gas given with each breath and to the length of inspiration and expiration. Expiration is usually passive back to the atmosphere of the room via a scavenging system to avoid pollution.

In intensive-care units, where patients are not usually paralysed, the ventilators are more complex. They have electronic controls which allow the user to programme a variety of pressure waveforms for inspiration and expiration. There are also programmes that allow the patient to breathe between ventilated breaths or to trigger ventilated breaths, or inhibit ventilation when the patient is breathing.

Indications for arti?cial ventilation are when patients are unable to achieve adequate respiratory function even if they can still breathe on their own. This may be due to injury or disease of the central nervous, cardiovascular, or respiratory systems, or to drug overdose. Arti?cial ventilation is performed to allow time for healing and recovery. Sometimes the patient is able to breathe but it is considered advisable to control ventilation – for example, in severe head injury. Some operations require the patient to be paralysed for better or safer surgical access and this may require ventilation. With lung operations or very unwell patients, ventilation is also indicated.

Arti?cial ventilation usually bypasses the physiological mechanisms for humidi?cation of inspired air, so care must be taken to humidify inspired gases. It is important to monitor the e?cacy of ventilation – for example, by using blood gas measurement, pulse oximetry, and tidal carbon dioxide, and airways pressures.

Arti?cial ventilation is not without its hazards. The use of positive pressure raises the mean intrathoracic pressure. This can decrease venous return to the heart and cause a fall in CARDIAC OUTPUT and blood pressure. Positive-pressure ventilation may also cause PNEUMOTHORAX, but this is rare. While patients are ventilated, they are unable to breathe and so accidental disconnection from the ventilator may cause HYPOXIA and death.

Negative-pressure ventilation is seldom used nowadays. The chest or whole body, apart from the head, is placed inside an airtight box. A vacuum lowers the pressure within the box, causing the chest to expand. Air is drawn into the lungs through the mouth and nose. At the end of inspiration the vacuum is stopped, the pressure in the box returns to atmospheric, and the patient exhales passively. This is the principle of the ‘iron lung’ which saved many lives during the polio epidemics of the 1950s. These machines are cumbersome and make access to the patient di?cult. In addition, complex manipulation of ventilation is impossible.

Jet ventilation is a relatively modern form of ventilation which utilises very small tidal volumes (see LUNGS) from a high-pressure source at high frequencies (20–200/min). First developed by physiologists to produce low stable intrathoracic pressures whilst studying CAROTID BODY re?exes, it is sometimes now used in intensive-therapy units for patients who do not achieve adequate gas exchange with conventional ventilation. Its advantages are lower intrathoracic pressures (and therefore less risk of pneumothorax and impaired venous return) and better gas mixing within the lungs.... intermittent positive pressure (ipp)

Intermittent Self-catheterisation

A technique in which a patient (of either sex) inserts a disposable catheter (see CATHETERS) through the URETHRA into the bladder to empty it of urine. It is increasingly used to manage patients with chronic retention of urine, or whose bladders do not empty properly

– usually the result of neurological disorder affecting the bladder (neuropathic bladder). (See URINARY BLADDER, DISEASES OF.)... intermittent self-catheterisation

Intermittent Auscultation

a method of fetal monitoring in *labour, with *auscultation of the fetal heart for one minute through a uterine contraction every 15 minutes during the first stage, and after every other contraction, or every 5 minutes, in the second stage of labour.... intermittent auscultation

Intermittent Pneumatic Compression

a technique to prevent thrombosis in bedridden patients. It uses an inflatable device that squeezes the calf when it inflates, preventing pools of blood forming behind the valves in the veins, thus mimicking the effects of walking.... intermittent pneumatic compression

Intermittent Self-catheterization

(clean intermittent self-catheterization, ISC, CISC) a procedure in which the patient periodically passes a disposable catheter through the urethra into the bladder for the purpose of emptying it of urine. It is increasingly used in the management of patients of both sexes (including children) with chronic *retention and large residual urine volumes, often due to *neuropathic bladder. ISC may prevent back pressure and dilatation of the upper urinary tract with consequent infection and incontinence.... intermittent self-catheterization



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