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
Relative contraindications for compression
HTN DVT Cardiac arrhymthias Sclerosis of coronary arteries Malignant lymphadema Paralysis/paresis Age
Absolute contraindications for CDT
Acute bronchitis
Acute DVT
Acute infections
CHF that is not medicated
Relative contraindications for CDT
Malignancy
Bronchial asthma
HTN
Absolute contraindications for neck MLD
Cardiac arrhythmias
Cartoid sinus syndrome
Thyroid disease
History of stroke
Relative contraindications for neck MLD
Advanced age
Acute wound characeristics
Red
Raised
Rigid
Mature wound characteristics
Pale
Planar
Pliable
Patient education for patients with prosthesis
Disease process and prevention strategies
Skin inspection and care
Residual limb shaping
Exercise
Wheelchair modifications for people with amputations
Rear axle set back 2”
