Arterial insufficiency wounds

Question 1

arterial insufficiency wound location

Answer 1

below the ankle

foot, heel, tips of toes

Possible superior to the lateral malleolus or anterior lower leg

dorsal Aspect of hand or fingers

Question 2

arterial wound Insufficiency presentation

Answer 2

initially shallow and deepen overtime
Punched out appearance
Typically regularly shaped round

minimal to no drainage, dry, and hard wound bed

tissue is usually usually black or brown, pale granulation, tissue or mixed

Question 3

dry gangrene

Answer 3

Mummification
No drainage, hard
Little to no odor
Clear demarcation

Protect and offload and prevent conversion to wet

Auto amputation

Question 4

wet gangrene

Answer 4

drainage
Odor
Fluctuance, edema
erythema
Less clear demarcation

Urgent referral to a vascular surgeon

Question 5

treatment of dry gangene

Answer 5

protect
Offload - NWB
Keep it dry
padded

Moisturize the surrounding periwound skin

Monitor for infection and conversion ofwet gangrene

Question 6

The goal for wounds considered unhealable is

Answer 6

To keep them dry

Question 7

ABI greater than 0.8 and 3+ pulses is

Answer 7

appropriate for compression

40 to 60 mmHg
multilayer systems, short stretch in figure 8 pattern

Question 8

ABI < 0.8

Answer 8

collaborate with team

0.6< ABI>0.8 may be approved for moderate or low compression

ABI < 0.5 no compression