04-06: Volumetric Measurements & Intermittent Compression Flashcards
1
Q
Types of Swelling (3)
A
Joint Swelling, Lymphedema, Ansarca
2
Q
Joint Swelling
A
- Blood and joint fluid in the capsule
- Feels like a water balloon
- Common to ankle sprains
3
Q
Lymphedema
A
- Lymph accumulates in subcutaneous tissue
- Lymph node excision, radiation therapy, trauma
- Common in women with masectomy
- Usually need compression bandage after treatment
4
Q
Ansarca
A
Extreme generalized edema
5
Q
What moves lymph (5)
A
- Muscle activity
- AROM, PROM
- Elevation
- Respiration
- Contraction of vessels
6
Q
Pitting Edema
A
Impression is left when pressure is applied to edematous area
7
Q
Measuring Girth
A
Locate bony landmark, then measure couple of inches above (every two inches)
8
Q
Ascites
A
Edema marked by excess serous fluid in peritoneal cavity - causes distention
9
Q
Edema treatments (4)
A
- Elevation
- Compression
- WB Exercises - cocontract muscles; compression helps with edema
- Cryotherapy - constricts blood vessels
10
Q
Compression treatments (4)
A
- Ace Wrap
- Lymphedema wrapping
- Compression garments
- Intermittent Compression
11
Q
Ace wrap
A
- Apply with Figure 8 wrap (less of tourniquet effect)
- Wrap distal to proximal
- Frequent re-wrap (comes loose)
12
Q
Compression wraps
A
- Custom: Typically measure pt at full edema to get right size
- Pre-fabricated sizes
13
Q
Intermittent Compression Indications
A
- Lymphedema
- Traumatic Edema
- Chronic Edema (immobility)
- Venous Stasis Ulcers
- Amputations
- Edema from renal/arterial insufficiency
- Post-surgical edema
14
Q
Intermittent Compression Contraindications
A
- DVT
- Superficial infections
- CHF
- Acute pulmonary edema
- Displaced fractures
15
Q
Purpose of Intermittent Compression
A
- Control and reduce accumulation of lymph in body tissues
- Assist return of body fluid towards heart
