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

A

negative

24
Q

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

A

cathode, anode

25
Q

anode attracts blank and blank

A

macrophages, neutrophils

26
Q

cathode attracts blank and stimulates these two

A

fibroblasts, myofibroblasts, keratinocytes

27
Q

cathode will blank tissue

A

soften

28
Q

anode will stimulate blank

A

epithelialization

29
Q

wound healing protocol based on electrochemical response in tissues being stimulated

A

4

30
Q

wound healing protocol based on type of healing clinician wants to induce

A

3

31
Q

cathode blank blood flow

A

increases

32
Q

anode blank blood flow via blank

A

decreases, vasoconstriction

33
Q

ionized medication must be placed under electrode of blank charge

A

same

34
Q

without iontophoresis, drug must be delivered via

A

passive diffusion

35
Q

The introduction of medicinal ions into the body tissues by means of a low voltage direct electromotive force (DC current)

A

iontophoresis

36
Q

iontophoresis occurs due to the electrostatic blank of an ion by a similarly charged electrode

A

repulsion

37
Q

iontophoresis occurs due to increasing the permeability of the blank

A

stratum corneum

38
Q

temporary production of water soluable pores in the skin

A

electroporation

39
Q

as water is carried throught he skin, it can carry other objects dissolved in it along with it.

A

electroosmosis

40
Q

current that produces a buildup of ions under the electrodes producing chemical reactions and altering skin pH

A

direct

41
Q

negative electrode has blank ions which makes a blank reaction

A

sodium hydroxide, alkaline

42
Q

positive electrode has blank ions which makes a blank reaction

A

hydrochloric acid, acidic

43
Q

depth of penetration during iontophoresis

A

1-3 mm

44
Q

depth of penetration after iontophoresis (12-24 hrs)

A

1.5 cm

45
Q

conraindications of iontophoresis

A

metal near skin, recent scars, dvt

46
Q

drug must be in blank state to blank

A

ionized, permeate skin

47
Q

any blank can be used for iontophoresis

A

electrode

48
Q

iontophoresis ion for calcium deposits

A

acetate

49
Q

iontophoresis ion for sclerotic tissue

A

chloride, copper

50
Q

iontophoresis ion for inflammation

A

dexamethason

51
Q

ion for inflammation/plantar warts

A

salicylate

52
Q

ion for scar

A

iodine

53
Q

ion for edema reduction

A

hyaluronidase

54
Q

ion for local anesthetic

A

lidocaine

55
Q

ion for muscle relaxant/vasodilation

A

magnesium