Interventions for vascular, lymphatic and Integumentary Disorder

Question 1

Things to consider in treating:

Answer 1

1. Holistic approach
2. Coordination, communication 3.and Documentation
   Patient/Client- Related Instruction

Question 2

Procedural Interventions

Answer 2

The therapist treating a patient with a wound should strive to establish an ideal wound environment. The choices made about intervention should be guided by the goal of achieving this ideal environment, described as moist, free from necrotic tissue, free from exudate, warm, protected from trauma, and protected from infection. Physical therapists may manage wound care in a primary care role, or in consultation with a physician and/or other providers. Interventions involving pharmaceuticals will always require physician consultation for a prescription.

Question 3

A method wherein we support or return a wound bed to homeostasis
However, many wounds do not need wound cleansing at every dressing changes
Disadvantage: causes potential loss of endogenous fluids and slows down cellular activity for up to 3 hrs after wound cleansing

Answer 3

Wound Cleansing

Question 4

With little evidence, it still used for both nonselective mechanical debridement and wound cleansing
Rationale for use: softens adherent necrotic tissue
Disadvantage: risk for contamination, can initiate venous congestion and edema, skin breakdown, potentially prolong inflammation and delay wound healing

Answer 4

Whirlpool

Question 5

Infected wounds can also be effectively cleaned with ___________.

Answer 5

Nonforceful irrigation

Question 6

Removal of foreign material and dead or damaged tissue
It prevents and control bacterial growth, encourage normal cellular activity and enhance tissue repair

Answer 6

Debridement

Question 7

Removes all tissue both necrotic and living. Quick procedure yet painful.

Answer 7

Non-selective debridement

Question 8

Removes necrotic tissue in a controlled method. More comfortable and gentle to the wound yet slow.

Answer 8

Sharp debridement

Question 9

causes greatest incidence of allergic reactions.

Answer 9

Neosporin/Neomycin Sulfate

Question 10

primarily for thermal injuries, silver is selectively toxic to bacteria but may inactivate topical proteolytic enzymes;
FOR PSEUDOMONAS

Answer 10

Silvadene/silver sulfadiazine

Question 11

prior to skin graft

Answer 11

Furacin/nitrofurazone

Question 12

diffuses easily through eschar, primarily for thermal injuries, gram – and gram + organism

Answer 12

Sulfamylon/mafenide acetate

Question 13

currently effective against all species of staphylococcus.

Answer 13

Bactroban/mupirocin ointment

Question 14

currently effective against all species of staphylococcus and streptococcus.

Answer 14

Gentamicin/Geramycin:

Question 15

liquifies thick eschar

Answer 15

Travase/ Elase

Question 16

piece of material such as a pad applied to a wound to promote healing and protect the wound from further harm.

Answer 16

Dressings

Question 17

For dry wounds dressings

Answer 17

1. Hydrogel
2. Transparent Film
3. Wet to wet/ Continous wet

Question 18

amorphous (contains at least 90% water); best used

Answer 18

Hydrogel

Question 19

facilitate moist environment

Answer 19

Transparent Film

Question 20

2 layers of impregnated gauze

Answer 20

Wet to wet/ Continous Wet

Question 21

Minimal to moderate exudate
dressings

Answer 21

1. Hydrocolloid
2. Wet to Dry

Question 22

typically consist of an absorbent colloidal material combined with a film

Answer 22

Hydrocolloid

Question 23

1 impregnated and 1 non-impregnated

Answer 23

Wet to Dry

Question 24

Moderate to heavy exudate

Answer 24

1. Calcium Alginate
2. Semipermeable Foam
3. Collagen Dressing
4. Dry to dry

Question 25

absorb 20 to 30 times their own weight, are gentle to apply and remove, and are biocompatible with the wound bed.

Answer 25

Calcium Alginate

Question 26

Modalities for wound treatment

Answer 26

Ultrasound
Electrical Stimulation
Ultraviolet Radiation
Hyperbaric oxygen therapy

Question 27

Suggestions for patient positioning:

Answer 27

The patient’s heels should be protected and elevated off the surface of the bed.
The head of bed should not be elevated past 30° unless medically necessary.
An individualized turning schedule should be provided.
Positioning with weight-bearing directly over the greater trochanter should be avoided.
Positioning with full weight-bearing over an existing wound should be avoided.
Donut-shaped devices for seating solutions should not be used.
Pillows and wedges should be used to separate bony prominences from bed and other body parts.

Question 28

Patient Education

Answer 28

Teach patient how to do skin inspection
Teach patient proper skin care
Shoe check
See health care provider if necessary