Compression

Question 1

What are the contraindications of compression?

Answer 1

• Heart Failure or Pulmonary Edema
• Acute Infection
• Arterial Revascularization (Surgery)
• Acute trauma or fracture
• Obstruction of lymphatic or venous
  circulation
• Recent DVT, Thrombophlebitis or
  pulmonary embolism
• Peripheral arterial disease or ulcers
  due to arterial insufficiency
• Hypoproteinemia (<2 gm/dL)

Question 2

What are the precautions of compression?

Answer 2

Impaired Sensation
Uncontrolled Hypertension
Impaired Mentation
Cancer
Stroke or Cerebrovascular insufficiency?
Superficial peripheral nerves

Question 3

What assessments should be performed prior to compression treatment?

Answer 3

Blood Pressure
Homan's Sign (DVT)
Pressure Test
Skin Integrity
Girth

Question 4

What are the potential adverse effects of compression?

Answer 4

Too much pressure could impair circulation

It could aggravate an underlying condition

Question 5

When should you check blood pressure related to compression treatment?

Answer 5

Before, during and after treatment

Question 6

When should girth measurements be taken when administering compression treatment?

Answer 6

Before and after

use metric/us measurements according to what is indicated in the initial evaluation

Question 7

What pressure should be used when using compression to treat edema in an upper extremity?

Answer 7

30-60 lbs

Question 8

What Inflation/Deflation settings should be used when using compression to treat edema in an upper extremity?

Answer 8

3:1

80-100 sec / 25-35 sec

Question 9

What pressure should be used when using compression to prevent DVTs?

Answer 9

40-80 lbs because this will be in the lower extremities

Question 10

what Inflation/Deflation settings should be used when using compression to prevent DVTs?

Answer 10

3:1

80-100 sec / 25-35 sec

Question 11

What pressure should be used when using compression to treat a venous stasis ulcer?

Answer 11

30-60 lbs for an upper extremity

40-80 lbs for a lower extremity

Question 12

What Inflation/Deflation settings should be used when using compression to treat a venous stasis ulcer?

Answer 12

3:1

80-100 sec / 25-35 sec

Question 13

What Inflation/Deflation settings should be used when using compression to effect residual limb reduction?

Answer 13

4:1

40-60 sec / 10-15 sec

Question 14

What pressuer should be used when using compression to effect residual limb reduction of a leg?

Answer 14

40-80 lbs

Question 15

What pressure should be used when using compression to effect residual limb reduction to an arm?

Answer 15

30-60 lbs

Question 16

What home eduction should be provided following a compression treatment?

Answer 16

Limb should be elevated as much as possible to maintain the effects of the treatment.

Compression garments should be warn 24/7, except when bathing

Instructions on how to apply a compression garment