1.27 Lymphedema Flashcards
Where does the lymphatic system run?
alongside the venous system
Overall function of lymphatic system
waste filtration
lymphatic system: valves?
no
configuration of lymphatic system
two ducts (sides)
- right side (R UE and some trunk up to head)
- left side (rest of the body)
How do we get lymphedema?
blockage somewhere along the pathway
What might cause blockage along the pathway to cause lymphedema?
- damage to duct system
- infection
- something filtered is too big and hasn’t made it through
- radiation or surgery
What is the most common cause of lymphedema?
surgery or radiation therapy has damaged part of the lymphatic system
- breast cancer biggest offender
- part or all of the lymphatic system has been removed
For those who have had lymphedema, what increases thee risk of having it happen again? Education on prevention?
lifestyle: any infection can cause this
- wear gloves washing dishes
- no nail salons
- bug bites (long sleeved shirts, repellant)
- yard work (wear gloves)
- protect skin from small cuts
What happens with each subsequent bout of lymphedema?
- every time it swells, gets easier for the next bout
- can help get rid of fluid that accumulates, but must get it as soon as it starts
early symptoms of lymphedema
- may complain of pressure (watch felt tight today)
- numbness/tingling
- heavy
- warmth
first incidence of lymphedema
- first time, they usually don’t pick up on what’s happening
- want the first incident to be as small as possible
- send to lymphedema specialist (special wrapping, sleeves)
treatment “opposite” for lymphedema patients
- start proximal and move distally to “pop the cork”
- motions themselves are still distal to proximal
lymphatic massage
- barely touching
- superficial massage
- slow
things to make sure not to do with a lymphedema patient
- don’t take BP on that side
- never stick a needle on that side
CPR for DVT
Well’s CPR
- usually used more in outpatient
