Compression

Question 1

compression used for these conditions

Answer 1

Amputation, mold residual limb
Decrease chronic edema
Lymphedema management
Stasis ulcer
Venous insufficiency
Subacute injuries

Question 2

compression contraindications

Answer 2

Trauma/fracture
Acute DVT
Completely obstructed lymph or venous return
Arterial disease/insufficiency
Arterial revascularization
Acute pulmonary edema
NO sensation
Edema with cardiac or renal impairment
Impaired cognition
Infection in treatment area
Hypoproteinemia (<2g/dL)

Question 3

what type of swelling seen with new onset

Answer 3

softer in acute phase

Question 4

major precaution with volumetric measurement

Answer 4

open wounds

Question 5

precautions compression

Answer 5

Decreased sensation
Malignancy
Uncontrolled hypertension
Over area of superficial peripheral nerve

Question 6

compression should be used in adjunct with

Answer 6

elevation and exercise

Question 7

1. Patients with arterial disease (ABI < 0.8)
2. Patient inability to remove bandage (physical or mental)
3. Allergy to component
4. Active wound infection at bandage site
5. Active cellulitis at bandage site

Answer 7

bandages contraind.

Question 8

bandages precautions

Answer 8

1. may be moved with facility with ppl who can’t work multiple dressings
2. over bony prominences

Question 9

high stretch bandages —– —– pressure

Answer 9

high resting pressure

Question 10

relatively inelastic bandages —– —– pressure

Answer 10

high working pressure

Question 11

low stretch bandages are NOT as effective at removing edema as highly elastic bandages- true or false

Answer 11

true

Question 12

when to use garments

Answer 12

Apply PRN AFTER edema has been removed by other means (after pumping, after wrapping)

Question 13

contraindications to garments

Answer 13

Arterial disease
Allergy to component

Question 14

precautions to garments

Answer 14

May be difficult to don, may require an assistant or assistive aids
Not recommended for over open wounds

Question 15

mechanical compression decrease interstitial fluids by these 2 mechanisms

Answer 15

1. limiting leakage of fluid with compression
2. increasing tissue temp

Question 16

non dynamic pumps used for

Answer 16

DVT prophylaxis in SEDENTARY patients
removed when ambulating

Question 17

PT consideration with pump guidelines

Answer 17

check pt’s BP

Question 18

This would indicate an abnormal response and treatment should be stopped if pt. reports

Answer 18

Numbness, tingling, pulsating, or pain

Question 19

Pumps Contraindications

Answer 19

DVT, thrombophlebitis
Acute cardiac failure
Obstructed lymphatic of venous flow
Arterial disease
Fracture
Local Infection
Significant hypoproteinemia- protein levels < 2 g/dl
***Suspected underlying syndrome which may be effected by compression ( COMPARTMENT SYNDROME)

Question 20

Pump precautions

Answer 20

CHF patient must be monitored closely for signs of intravascular fluid burden
Impaired sensation or mental status
** Uncontrolled hypertension
CA
CVA
** Valve insufficiency
Superficial peripheral nerves
Requires barrier for patients with Contact Isolation Precautions
Never adjust pressure to greater than diastolic blood pressure

Question 21

Never adjust pressure to greater than —– ——- ——-

Answer 21

diastolic blood pressure