Indications, Contraindications, Precautions Flashcards
Indications for Diathermy (4)
- Modulate pain and edema
- Soft tissue healing
- Nerve healing
- Bone healing
Contraindications for Diathermy in Wound Care (5)
• Metal implants (Orthopedic hardware, Shrapnel) • Ischemic tissue • Acute osteomyelitis • Anesthetized areas • Patient with tendency to hemorrhage
Contraindications for Diathermy General Rules (6)
• Malignancy • Pacemakers, other implanted stimulators • Pregnancy • Deep tissues/internal organs • Over eyes, testes, growing epiphyses • Substitute for conventional pain/edema control
Precautions for Diathermy in Wound Care (3)
• Heat sensitivity
• Inflammatory processes
• Situations that could
concentrate field (Moist dressings, Periwound adhesives, Significant exudate, Perspiration)
Precautions for Diathermy General Rules (5)
- Near electronic or magnetic equipment
- Obesity
- Copper IUD
- Skeletal immaturity
- Pregnant clinician: stay 1-2 ft. away from PSWD
Indications for Ultrasound (7)
- Wound healing (Dermal ulcers, Skin incision healing)
- Tendon and ligament injury
- Fracture healing
- Carpal tunnel syndrome
- Pain
- Soft tissue shortening
- Calcium deposit resorption
Contraindications for Ultrasound in Wound Care (3)
• Over spinal cord after laminectomy • Hemophiliacs • Patients with vascular abnormalities (Deep vein thrombosis, Emboli, Severe atherosclerosis)
Contraindications for Ultrasound General Rules (6)
Malignant tumor • Pregnancy (over abdomen, low back, pelvis) • Over central nervous system tissue • Joint cement, plastic components • Pacemaker • Over eyes or reproductive organs
Precautions for Ultrasound in Wound Care (4)
• Over subcutaneous bony prominences • Over subcutaneous major nerves (thermal may alter nerve conduction velocity) • Over the cranium • Over anesthetized areas
Precautions for Ultrasound General Rules (4)
- Acute inflammation
- Over growing epiphyseal plates
- Over fractures (use low dose)
- Over breast implants
Indications for ESTIM (7)
- Pressure Injuries
- Diabetic ulcers
- Venous ulcers
- Ischemic ulcers
- Traumatic wounds
- Surgical wound
- Burns
Contraindications for ESTIM in Wound Care (5)
• Untreated osteomyelitis • Malignancy near/on the wound • Active bleeding • Placement of electrodes over substances containing iodine or metal ions • Placement of electrode transcerebrally
Contraindications for ESTIM General Rules (5)
• Pacemaker • Unstable arrhythmias • Over carotid sinus • Venous or arterial thrombosis • Over pelvis, abdomen, trunk, low back during pregnancy
Precautions for ESTIM in Wound Care (4)
• Cardiac disease • Impaired mentation or sensation • Malignant tumors anywhere else on body • Skin irritation under electrodes
Precautions for ESTIM General Rules (4)
• Cardiac disease • Impaired mentation or sensation • Malignant tumors anywhere else on body • Skin irritation under electrodes
