Compression Flashcards
Effects of compression
Inc hydrostatic pressure of the interstitial spaces
Dec build up fibrin
Dec pain
Effects of compression - how does it inc hydrostatic pressure of the interstitial spaces
Inc lymphatic flow
Dec venous pressure
Effects of compression - how does it dec build up of fibrin
dec collagen deposits
Effects of compression - how does it dec pain
thought to be related to mechanical compression
Contraindications
Pain Sensory deficits Arterial insufficiency (absolute) CHF or pulmonary edema Gangrene Untx infected wound Recent skin graft Dermatitis Known or suspected DVTs
Applications/Types of compression
Unna boot - medicated, zinc impregnated
Multi layer bandaging system
Compression garments (elastic)
CircAid - removable semirigid orthotic compression device
Tubular bandages (tubigrip)
Compression wraps (short stretch compression wrap)
Pneumatic compression devices
Compression bandages - Short stretch is
Low resting pressure
High working pressure
Stretches to 30% of original length
Compression bandages - long stretch is
High resting pressure
Low working pressure
Stretches to 190% of original strength
Spiral application (50% stretch, 50% overlap)
Compression garment classification - Class 1
Moderate
18-25 mmHg
Light edema, moderate varicosity, fatigued legs
Compression garment classification - class 2
Medium
30-40 mmHg
Moderate edema, healed ulcer
Compression garment classification - class 3
Strong
40-50 mmHg
Severe venous insufficiency, s/p thrombotic episode, lymphatic edema
Compression garment classification - class 4
Very strong
60+ mm Hg
Lymphatic edema
Dependent edema
Distal pressure:
Duration:
Frequency:
40 mmHg
1-2 hours
2/day
Traumatic edema
Distal pressure:
Duration:
Frequency:
40 mmHg
30-60 min
1/day
Lymphedema - mild
Distal pressure:
Duration:
Frequency:
40-50 mmHg
2 hours
2/day
