Chronic Venous stasis and venous ulcers and venous congestion

Question 1

chronic venous insufficiency

Answer 1

variable symptoms but include aching and heavy pain in the legs, visible varicosities, chronic edema and brawny discoloration to the lower skin

Question 2

risk factors for chronic venous insufficiency are:

Answer 2

smoking
prior VTE
older age
family history
obesity
prior ulceration is a strong predictor of future recurrence

Question 3

1st line treatment for CVI is

Answer 3

lower extremity elevation at least 20-30 minutes 3 to 4 times a day
leg exercise
weight loss
continuous compressive therapy

ASA can help too.

Question 4

prescription graduated comrpession stockings in chronic venous insufficiency are helpful because they

Answer 4

increase healing, improve rates up to 97% in compliant pts.

Improves the venous HDS and optimizes fibrinolysis and reduces inflammation

Question 5

contraindication to graduated compression stockings are:

Answer 5

moderate to severe PAD or active cellulitis

Question 6

lasix have a role in CVI

Answer 6

don’t use in lower extremity edema from CVI

Question 7

does topical antibiotics or zinc sulfate or hyperbaric oxygen help in chronic venous insufficiency ulcers?

Answer 7

no it doesn’t