Edema

Question 1

When considering Edema. We need to think about ?

Answer 1

Blockages - DVT.
Leaks - Aneurysm that can rapture.
Overflow - CHF. The inability for the hear to pump blood causing swelling legs.

Question 2

DVT in the Lower leg can cause?

Answer 2

Edema that is also red or discoloration, warmer the the opposite limb and painful.

Question 3

DVT should be evaluated to avoid?

Answer 3

Leg cramps and/or decloth.

Question 4

What medical management can help with Edema?

Answer 4

Diuretics
Beta blockers
Immobilization
When it is safe to apply compression,
Elevate the extremities.

Question 5

What could diuretics due ?

Answer 5

Lowe the BP. Additionally for CHF - helps pull out fluid from legs and lungs.

Question 6

What does beta blockers do?

Answer 6

Controls BP

Question 7

When is it safe to apply compression ?

Answer 7

When there sis not suspicion of DVT or infection, or limp compromise blood supply

Question 8

When should we avoid elevating BLE?

Answer 8

When there is a heart condition such as CHF. This can cause fluid build up around the heart and lungs.

Question 9

What is Lymph system?

Answer 9

It is a part of immune system.

Cleans viruses, bacteria and other debris in the body.

Question 10

How does lumpy system work?

Answer 10

No pump

Works with pressure

Question 11

Lymph Nodes if damages?

Answer 11

The do not regrow nor regenerate.

Question 12

Cervical nodes drain ?

Answer 12

Left face/neck

Question 13

Axillary Nodes grain?

Answer 13

RUE/ Chest

Question 14

Inguinal nodes drain?

Answer 14

RLE

Question 15

Interstitium Starling’s Equilibrium, how it works

Answer 15

A pressure. This is the exchange between vessels/arteries and lymphatic system

Question 16

What can help the exchange of fluids in the thoracic duct?

Answer 16

Deep breathing.

Question 17

What are the Non-cardiac causes of Edema?

Answer 17

Injury 
Inflammation
Medications
Immobility
Kidney disease 
Liver Disease 
Edema can also be cause by the use of Steroids.

Question 18

Classification of Edema, what are they?

Answer 18

Acute
Subacute
Chronic

Question 19

Classification of Edema - Acute?

Answer 19

Soft
Easy movable
easy Pitting
Quick rebound and to resolve

Question 20

Classifications of Edema, Subacute

Answer 20

Feels like patty
Pitting is slow
Rebounds Slow
Difficult to move around

Question 21

Classification of Edema, Chronic

Answer 21

Hard, difficult to treat or change

Hard to do anything

Question 22

Stages of Lymphedema, what are they?

Answer 22

0 - Subclinical
1 - Notable, still reversible
2 - Notable, not easily reversible
3 - Severe, other skin changes

Question 23

0 - Subclinical

Answer 23

At risk for lymphedema due to surgery. No symptoms

Question 24

1 - Notable, still reversible

Answer 24

Similar to stage one. Edema present

Question 25

2 - Notable, not easily reversible

Answer 25

Subacute like.

Question 26

3 - Severe, other skin changes

Answer 26

Non-reversible

Question 27

What are secondary complication of chronic Edema?

Answer 27

Chronic hardening of the skin.
Infections
Immobility
Loss of function
Emotional /Social impact

Question 28

What are some causes of localized edema ?

Answer 28

Inflammation after an injury, localized allergic reaction, immobility of the limb, dependent positioning, venous disease.

Question 29

What are some contraindications to compression wraps or MEM?

Answer 29

The presence of blood cloth (DVT) or hematoma, infections, inflammations, cancer, arterial disease, severe cardiac/liver/kidney disease, acute wound or injury, and lymphedema.