Edema Management

Question 1

5 Physiology of Edema: Hydrostatic Pressure Factors

Answer 1

1. Hypertension
2. Decreased CO- not as much transport
3. Increase Vasodilation
4. Venous Congestion- stagnant fluid
5. Decreased Lymph Transport

Question 2

5 Physio of Edema: Osmotic Pressure Factors

Answer 2

1. Poor nutrition- protein deficient/malnourished
2. Decreased capilary protein conc
3. Increased Vasodilation
4. Tissue injury
5. Increased tissue protein concentration- from injury

Question 3

5 Integumentary Effects of Edema

Answer 3

1. Increased infection risk
2. Decrease blood flow/nutrients
3. Pain/abnormal sensations
4. Decrease strenght, mobil, function
5. Increased difficulty to treat as time increases- fibrostic/viscous (pitting)

Question 4

Indications for Compression Therapy

Answer 4

Periph edema
Lymphedema
CVI
Post-injury/surgery
DVT w/ med management
Stump reduction
Varicose veins
ABI>0.8

Question 5

Contraindications for Compression Therapy

Answer 5

Acute infections
Acute DVT
ABI

Question 6

Arterial Disease Risk Factos

Answer 6

> 60 y.o.
diabetes mellitus
smoker
fam history arterial/cardiac disease

Test ABI
False negatives from: venous/art stenosis, diabetes, cardiac disease, vesseles not compressible

Question 7

Compression Garments for Maintenance Intervention Indications

Answer 7

S/P blood clot-DVT
Varicose/spider veins
Early CVI
Lymphedema
Venous insuffic w/ lymphedema
Orthostatic hypotension (TED hose)
Burn scar hypertrophy

Question 8

Pressure Gradient for Compression Therapy

Answer 8

20-30mmHg- varicose veins, mild edema, leg fatigue, lyphedema

30-40- servere variscosities, mod CVI, lipedema, lymphedema

40-50(60)- severe CVI, lipedema, lyphedema

Question 9

Contraindications to Compression Pumps

Answer 9

Uncontrolled hypertension
Pregnancy
Obstructed lymph nodes

Question 10

6 Effects of Compression Pumps

Answer 10

1. Decrease blood capilary filtration-lymph formation
2. Increase venous return
3. Increase transport of lymph fluid- but not proteins
4. Increase angiogenesis long term
5. Decrease limb volume/girth
6. Decrease fibrosis

Question 11

Parameters of Compression Pumps

Answer 11

Pressure: below diastolic BP

>30 promotes reabsorption- venous prob