Interventions for Vascular, Lymphatic, and Integumentary disorders

Question 1

A method wherein we support or return a wound bed to homeostasis

Answer 1

wound cleansing

Question 2

disadvantage of wound cleansing

Answer 2

potential loss of endogenous fluids resulting in slowing down of cellular activity

Question 3

why is whirlpool used for wound cleansing?

Answer 3

it softens adherent necrotic tissue

Question 4

disadvantages of using whirlpool

Answer 4

risk for contamination
can initiate venous congestion and edema
skin breakdown
potentially prolong inflammation
delay wound healing

Question 5

Removal of foreign material and dead or damaged tissue

Answer 5

debridement

Question 6

purpose of debridement

Answer 6

prevents and control bacterial growth
encourage normal cellular activity
enhance tissue repair

Question 7

removes all tissue both necrotic and living

Answer 7

non-selective debridement

Question 8

examples of non-selective debridement

Answer 8

surgical
wet to dry dressing
whirlpool

Question 9

removes necrotic tissue in a controlled manner.

Answer 9

selective debridement

Question 10

example of selective debridement

Answer 10

sharp debridement
chemical or enzymatic debridement

Question 11

causes greatest incidence of allergic reactions

Answer 11

Neosporin/neomycin sulfate

Question 12

antibacterial primarily used for thermal injuries

Answer 12

silvadene/silver sulfadiazine

Question 13

what does silvadene possibly inactivate

Answer 13

topical proteolytic enzymes

Question 14

antibacterial used prior to skin graft

Answer 14

furacin/nitrofurazone

Question 15

this antibacterial diffuses easily through eschar; primarily used for thermal injuries

Answer 15

Sulfamylon/Mafenide acetate

Question 16

this antibacterial is currently effective against all species of staphylococcus

Answer 16

Bactroban/Mupirocin ointment

Question 17

this antibacterial is currently effective against all species of staphylococcus and streptococcus

Answer 17

Gentamicin/Geramycin

Question 18

this antibacterial liquifies thick eschar

Answer 18

Travase/Elase

Question 19

Dressing used for dry wounds

Answer 19

hydrogel
transparent film
wet to wet

Question 20

a wet gauze is called

Answer 20

an impregnated gauze

Question 21

a dry gauze is called

Answer 21

a non-impregnated gauze

Question 22

composition of hydrogel dressing

Answer 22

at least 90% water

Question 23

best dressing used for dry wounds

Answer 23

hydrogel

Question 24

dressing used for dry wound to facilitate moist environment

Answer 24

transparent film

Question 25

a dressing that contains 2 impregnated gauze

Answer 25

wet to wet

Question 26

dressing for wounds with minimal to moderate exudate

Answer 26

hydrocolloid dressing wet to dry dressing

Question 27

a dressing typically consisting of an absorbent colloidal material combine with a film

Answer 27

hydrocolloid dressing

Question 28

a dressing that consists of one impregnated and one non-impregnated gauze

Answer 28

wet to dry dressing

Question 29

dressings for wounds with moderate to heavy exudate

Answer 29

calcium alginate semi-permeable foam collagen dressing dry to dry

Question 30

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

Answer 30

calcium alginate dressing

Question 31

a dressing consisting of 2 non-impregnated gauze

Answer 31

dry to dry

Question 32

modalities used for wound treatment

Answer 32

ultrasound electrical stimulation ultraviolet radiation hyperbaric oxygen therapy

Question 33

heel position of the patient

Answer 33

protected and elevated off the surface of the bed

Question 34

parameter for head of bed elevation

Answer 34

< 30 degrees

Question 35

where should positioning with weight bearing be avoided?

Answer 35

greater trochanter

Question 36

what devices should not be used in seating solutions?

Answer 36

donut-shaped devices

Question 37

what should be used to separate bony prominences from the bed.

Answer 37

pillows and wedges

Question 38

pt education for wound management

Answer 38

teach pt how to inspect skin teach pt how to do proper skin care shoe check

Question 39

a compression bandage that provides high resting pressure and a low working pressure

Answer 39

long-stretch compression bandage

Question 40

a compression bandage that provides low resting pressure and a high working pressure

Answer 40

short-stretch compression bandage

Question 41

what type of bandage is more appropriate for edema and lymphedema?

Answer 41

compression bandage

Question 42

a type of compression machine used for edema and residual limb reduction; it promotes venous return

Answer 42

Intermittent Pneumatic Compression (ICP)

Question 43

parameter for UE ICP

Answer 43

50-60 mmHg

Question 44

parameter for LE ICP

Answer 44

60-70 mmHg

Question 45

pressure difference for ICP

Answer 45

20 mmHg

Question 46

progression for ICP

Answer 46

10 mmHg

Question 47

Absolute contraindications for ICP

Answer 47

arterial insufficiency active cellulitis DVT

Question 48

specialized therapy for lymphatic circulation.

Answer 48

Manual Lymphatic Drainage (MLD)

Question 49

what does MLD do?

Answer 49

enhances lymph capillary activity via gentle skin stretching

Question 50

benefits of MLD

Answer 50

increased lymphagion contractions and transport capacity redirects lymph flow towards collateral vessels and uninvolved lymph regions

Question 51

parameters for MLD

Answer 51

3 sets; 5 strokes each set

Question 52

contraindications for MLD

Answer 52

edema related to cardiac or renal conditions

Question 53

indications of exercise therapy

Answer 53

arterial wounds venous wounds neuropathic wounds lymphedema edema

Question 54

contraindications of exercise therapy

Answer 54

history of DVT acute local infection CHF Cor pulmonale Acute dermatitis