E Stim Tissue Healing & Iontophoresis Flashcards

1
Q

three components of inflammatory stage of wound healing

A

hemostasis, phagocytosis, autolysis, fibroblast migration

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2
Q

three components of proliferation stage of wound healing

A

collagen synthesis, angiogenesis, epithelialization, wound contraction

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3
Q

components of maturation stage of wound healing

A

collagen lysis, collagen replacement

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4
Q

a couple things that impede wound healing

A

smoking, infection, stretch/pressure, malnutrition other medications

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5
Q

chronic wound that is an Area of local tissue loss due to prolonged tissue compression between boney prominences and external surfaces

A

pressure sore

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6
Q

compression of tissues can cause blank

A

necrosis

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7
Q

stage of pressure sore with non blanchable erythema of intact skin

A

1

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8
Q

stage of pressure sore with full thickness skin loss including damage to subcutaneous tissue

A

3

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9
Q

stage of pressure sore with full thickness skin loss with destruction or damage to muscle, bone, or support structures

A

4

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10
Q

stage of pressure sore with partial thickness skin loss to epidermis, dermis, or both

A

2

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11
Q

chronic wound due to area of local tissue loss due to arterial blood supply deficiency

A

arterial insufficiency ulcers

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12
Q

chronic wound due to area of local blood loss due to deficiency in venous drainage

A

venous insufficiency ulcers

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13
Q

chronic wound that is an area of local tissue loss due to sensory neuropathy and arterial blood supply deficiency

A

diabetic ulcers

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14
Q

ionic movement electricity electrophysical effect

A

electrokinetic

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15
Q

example of electrokinetic effect

A

depolarizing excitable membrane

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16
Q

blank of charged particles produces heat

A

microvibration

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17
Q

high skin impedence blank thermal effect

A

increases

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18
Q

effect of wound healing that affects macrophages in the inflammatory phase, fibroblasts during proliferation, and myofibroblasts during maturation

A

galvanotaxis

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19
Q

types of currents for wound healing

A

low intensity dc, continuous dc, high volt pulsed, twin-peak monophasic pulse, rectangular monophasic pulse, biphasic pulse

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20
Q

outside of skin has blank charge

A

negative

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21
Q

inside of skin has blank charge

A

positive

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22
Q

with injury, outside of skin has blank charge

A

positive

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23
Q

with injury, inside of skin has blank charge

24
Q

blank is most normally used over wound, but blank is used if infected with staph aureus

A

cathode, anode

25
anode attracts blank and blank
macrophages, neutrophils
26
cathode attracts blank and stimulates these two
fibroblasts, myofibroblasts, keratinocytes
27
cathode will blank tissue
soften
28
anode will stimulate blank
epithelialization
29
wound healing protocol based on electrochemical response in tissues being stimulated
4
30
wound healing protocol based on type of healing clinician wants to induce
3
31
cathode blank blood flow
increases
32
anode blank blood flow via blank
decreases, vasoconstriction
33
ionized medication must be placed under electrode of blank charge
same
34
without iontophoresis, drug must be delivered via
passive diffusion
35
The introduction of medicinal ions into the body tissues by means of a low voltage direct electromotive force (DC current)
iontophoresis
36
iontophoresis occurs due to the electrostatic blank of an ion by a similarly charged electrode
repulsion
37
iontophoresis occurs due to increasing the permeability of the blank
stratum corneum
38
temporary production of water soluable pores in the skin
electroporation
39
as water is carried throught he skin, it can carry other objects dissolved in it along with it.
electroosmosis
40
current that produces a buildup of ions under the electrodes producing chemical reactions and altering skin pH
direct
41
negative electrode has blank ions which makes a blank reaction
sodium hydroxide, alkaline
42
positive electrode has blank ions which makes a blank reaction
hydrochloric acid, acidic
43
depth of penetration during iontophoresis
1-3 mm
44
depth of penetration after iontophoresis (12-24 hrs)
1.5 cm
45
conraindications of iontophoresis
metal near skin, recent scars, dvt
46
drug must be in blank state to blank
ionized, permeate skin
47
any blank can be used for iontophoresis
electrode
48
iontophoresis ion for calcium deposits
acetate
49
iontophoresis ion for sclerotic tissue
chloride, copper
50
iontophoresis ion for inflammation
dexamethason
51
ion for inflammation/plantar warts
salicylate
52
ion for scar
iodine
53
ion for edema reduction
hyaluronidase
54
ion for local anesthetic
lidocaine
55
ion for muscle relaxant/vasodilation
magnesium