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

A

True

20
Q

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

A

True

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
Q

What do you use for tissue healing, e stim

A

HVPC

26
Q

If you have a would and want to apply estim what should you do before placing electrode down

A

Soak sterilized gauze in saline solution

27
Q

What is monophonic waveform

A

Current only stays in either positive or negative doesn’t cross both

28
Q

What is the negative polarity for HVPC used in

A

Inflames or infected wounds
3-7 days

29
Q

What is the positive polarity for HVPC used for

A

Proliferative stage
> 7 days

30
Q

What does purulent mean

A

Opaque,milky,some times green

31
Q

What is seropurulent

A

Yellow,tan cloudy and thick

32
Q

When do you use use HVPC for edema control

A

When it’s inflammation related ti tissue

33
Q

Where do you place the negative electrodes for edema control ES

A

Over the area of Edema

34
Q

Where do you place the other electrode when focusing on edema for es

A

Proximal ti area

35
Q

What is the equation for dosage of iontophoresis

A

Dosage= amplitude x duration