Estim Tissue Healing Flashcards

1
Q

What can cause chronic wounds

A

Decreased sensation
Decreased blood supply
Decreased mobility
Decreased ROM

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2
Q

What are the two ways we facilitate tissue healing with electricity

A

Directly
Indirectly

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3
Q

What is direct electricity

A

Applying ti the wound

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4
Q

What is indirect electricity

A

Controlling edema
Transdermal delivery of medication

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5
Q

What is galvanotaxis

A

Electrical field
Promotes circulation
Reduce edema
Improve tissue oxygenation

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6
Q

What color is an anode

A

Red

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7
Q

What color is a cathode

A

Black

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8
Q

Is an anode positive or negative

A

Positive

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9
Q

Is a cathode positive or negative

A

Negative

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10
Q

What does RAP mean

A

Red anode positive

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11
Q

What are anodes

A

Macrophages
Epidermal cells
Inactive neutrophils

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12
Q

What are cathodes

A

Lymphocytes
Platelets
Mast cells
Keratinocytes
Neural progenitor cells
Fibroblasts
Activates neutrophils

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13
Q

What is cellular activation

A

Increase vascular endothelial growth factor production

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14
Q

What is monophasic current

A

Direct current (iontoohoresis) and HVPC (wound healing)

Kills bacteria

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15
Q

What is enhanced circulation for es

A

Acelerstuoj of angiogenesis via VEFG

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16
Q

What are different kinds of chronic wounds

A

Pressure ulcers
Diabetic ulcers
Venous ulcers

17
Q

What is the polarity, pulse frequency, and time for edema control for estim

A

Negative polarity
Pulse frequency 120
4-30 min

18
Q

When should you not use estim on a patient

A

When they have a systemic disorder

19
Q

T/f: for iontophoresis,The use of electrical current promotes transdermal drug delivery

20
Q

T/f: for iontiphoresis, low amplitude DC is used ti facilitate transdermal drug delivery

21
Q

In iontophoresis, are the charges opposite or like

A

The like charges repel each other ti push the medicine through the skin

22
Q

What is the most common medication used for iontophoresis

A

Anti inflammatory corticosteroid dexametyasone

23
Q

What are the three positive medications for iontophoresis

A

Lidocaine
Zinc oxide
Hyaluronidase

24
Q

What are two main contraindications for iontophoresis

A

Malignant tumors
Using another modality like a hot pack

25
What do you use for tissue healing, e stim
HVPC
26
If you have a would and want to apply estim what should you do before placing electrode down
Soak sterilized gauze in saline solution
27
What is monophonic waveform
Current only stays in either positive or negative doesn’t cross both
28
What is the negative polarity for HVPC used in
Inflames or infected wounds 3-7 days
29
What is the positive polarity for HVPC used for
Proliferative stage > 7 days
30
What does purulent mean
Opaque,milky,some times green
31
What is seropurulent
Yellow,tan cloudy and thick
32
When do you use use HVPC for edema control
When it’s inflammation related ti tissue
33
Where do you place the negative electrodes for edema control ES
Over the area of Edema
34
Where do you place the other electrode when focusing on edema for es
Proximal ti area
35
What is the equation for dosage of iontophoresis
Dosage= amplitude x duration