Compression Flashcards

1
Q

Clinical indications for compression

A
Edema
Prevent deep vein thrombosis (DVT)
Venous Stasis ulcer
Residual limb shaping (amputation)
Control hypertrophic scarring
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2
Q

Contraindications for compression

A
Heart failure or pulmonary edema
Recent/acute DVT, thrombophlebitis, PE
Obstructed lymphatic or venous return
Severe PAD
Acute trauma/fracture
Severe hypoproteinemia
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3
Q

Adverse effects of compression

A

May become tourniquet, which may lead to ischemia and impaired healing or tissue death

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4
Q

When using compression, make sure to monitor…

A

Edema, BP, and other symptoms closely for adverse reactions

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5
Q

Types of application techniques for compression

A

Compression garments/stockings
Velcro closure devices
Intermittent pneumatic compression pump

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6
Q

Recommended parameter for compression of the upper extremities

A

To tolerance but not to exceed 50 mm. Do not exceed the diastolic blood pressure

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7
Q

Recommended parameter for compression of the lower extremities

A

To tolerance but not to exceed 50 mm. Do not exceed the diastolic blood pressure

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8
Q

Recommended parameter for compression for lymphedema

A

To tolerance but not to exceed 45 mm. Do not exceed the diastolic blood pressure

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9
Q

Universal recommended parameters for compression

A

If cycling is available, 45-90 seconds on, 15-30 seconds off

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10
Q

Recommended dosage for compression

A

Minimum 2 hours daily for 3-4 weeks

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11
Q

Recommended dosage for compression for edema reduction

A

2 hours twice daily and one session 3x weekly have both been proven to be effective

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12
Q

Which systems are better, multi-component or single?

A

Multi-component

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13
Q

Compression increases…

A

Ulcer healing rates compared to no compression

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14
Q

The evidence for compression includes…

A

small RCTs with unclear or high risk of bias

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