Exam 2 - Lymph, Burns, Amputations Flashcards
Normal physiology of lymph system
Transport capacity is high, and lymph load and lymph time volume remain low
Lymphatic safety factor
Lymph load increases, but still remains below transport capacity
Dynamic insufficiency
Increase in lymphatic load to a point higher than transport capacity
Caused by poor venous return
MLD/CDT not indicated
Mechanical insufficiency
Transport capacity decreases to point below lymphatic load
MLD/CDT is indicated
Safety Valve Insufficiency
Transport capacity decreases as lymphatic load increases
MLD/CDT is indicated
Latency stage of lymphadema
No swelling
Decreased transport capacity
Stage 1 of lymphadema
Reversible
Soft (pitting) edema
No secondary tissue changes
Elevation reduces swelling
Stage 2 of lymphadema
Spontaneously irreversible
Fibrosclerotic changes
Frequent infections
Stage 3 of lymphadema
Lympostatic elephantiasis
Extreme increase in volume and texture, deep skin folds
Components of complete decongestive therapy
Manual lymph drainage
Remedial exercise
Meticulous skin and nail care
Compression bandages
Goals for phase I of lymphadema treatment
Mobilize protein rich fluid
Initiate reduction of fibrosclerotic tissue
Goals for phase II of lymphadema treatment
Preserve and improve success achieved in Phase I
Lymphatic filariasis
Transmitted to bloodstream by moquito bite as microfilaria
Worms grow to adulthood in about 6 months and will mate with other adult worms
Short stretch bandage properties
High working pressure
Low resting pressure
Absolute contraindications for compression
Cardiac edema
Acute infections
Arterial disease
Spasticity
