Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Med Con III > Module 9- Wound Types (neuropathic, arterial, venous) > Flashcards

Module 9- Wound Types (neuropathic, arterial, venous) Flashcards

1
Q

wound type that is present for at least 6 weeks

A

chronic wounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

These are some characteristic of what type of wound
-necrotic tissue
-bioburben
-chronic inflammatory
-impaired hemodynamics
-senescent fibroblasts and keratinocyctes
-chronic wound fluid with growth inhibiting proteases
-overgrowth of epithelium with lack of underlying connective tissue

A

chronic wounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 4 categorize of chronic wounds

A
  1. arterial
  2. venous insufficiency
  3. neuropathic/diabetic
  4. pressure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

name the type of wound category
-ischemia
-micro or macro vascular disease
-smoking

A

arterial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

name the type of wound category
-deep vein thrombosis
-recent surgery, ankle fusion
-prolonged standing, pregnancy
-congestive heart failure

A

venous insufficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

name the type of wound category
-diabetes
-peripheral vascular disease
-hansen’s disease

A

neuropathic/diabetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

-pressure/shear
-immobility, moisture
-decreased sensation
-poor nutrition

A

pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

_____ wounds
-occur on the foot usually plantar surface of toes
-causes by mechanical forces or minor trauma

A

neuropathic wounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pt with ____ wounds typically have sensory, autonomic and motor neuropathies

A

neuropathic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

____ wounds are caused by ischemia

A

arterial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

___ wounds typically occur in the peripheral extremities
caused by macro- or microvascular disease

A

arterial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

_____: obstruction of the larger named arteries by PAOD, embolus, thrombus, trauma

_____: disease of the small unnamed arterioles and capillaries usually associated with diabetes or small emboli

A

Arterial wounds
macro:
Micro:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Neuropathic wounds pain typically relieved with ambulation—T or F

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Both neuropathic and arterial wounds occur mainly on the foot and toes T or F

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does the appearance of the foot differ in neuropathic and arterial injuries

A

neuropathic- architectural changes in the foot
arterial- normal looking foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

appearance of wounds:
pink, moist callus formation, plantar surface, skin usually warm

A

neuropathic

17
Q

appearance of wound:
pale dry well defined margins, limb color pale, skin cool to touch

A

arterial

18
Q

Which has a normal ABI neuropathic or arterial injuries?

A

neuropathic

19
Q

what are the grades of the diabetic foot classification

A

grade 0- intact skin
grade 1- superficial ulcer
grade 2- deep ulcer
grade 3- ulcer with bone involvement
grade 4- forefoot gangrene
grade 5- full-foot gangrene

20
Q

what are the 3 critical phases of peripheral vascular disease?

A
  1. collateral circulation insufficient for metabolic needs
  2. claudication- pain with activity
  3. rest pain- requires revascularization surgery
21
Q

in arterial wounds: will ABI and pulses be diminished?

A

yes

22
Q

what is the normal time during a capillary refill exam

A

less than 3 sec

23
Q

which are more common venous or arterial wounds?

A

venous

24
Q

What are 3 causes of chronic venous insufficiency?

A
  1. reflux as a result of incompetent valves in the perforator, superficial, or deep veins
  2. obstruction- chronic deep vein thrombosis
  3. lack of venous pump activation during the gait cycle
25
Q

Chronic venous insufficiency can result in venous _____-tension and excessive moisture in the interstitial tissue

A

hypertension

26
Q

chronic venous insufficiency prevents adequate ____ and ____ from reaching the skin

A

oxygen and nutrients

27
Q

what are some risk factors for chronic venous insufficiency?

A

Hx of DVT
Hx of hip/knee/calf surgery
ankle hypo-mobility
employment involving prolonged standing
morbid obesity
pregnancy
heart failure

28
Q

Heavy, aching feelings in legs
telegentsia or reticular veins
varicose veins
edema without ulceration
skin changes without ulceration
skin changes with ulceration

is the progression of ____ disease

A

venous

29
Q

where are venous wounds located

A

in the gaiter area

30
Q

a wound has irregular wound borders, full-thickness, minimal exudate, cool and pale LE

presentation isnt clean for one or the other what is the gold standard test to determine?

A

ABI

31
Q

What is the ABI range for a mixed ulcer

A

0.6-0.8

32
Q

If an ABI is <0.6 what is the first mode of treatment

A

revascularize, prevent occurrence

no compression for mixed ulcer

33
Q

mixed wounds account for ___% of LE ulcers origin is primarily due to chronic venous insufficiency with poor healing with co-exisiting arterial insufficiency

A

10

34
Q

No peripheral arterial obstruction is found from a ABI and ultrasound examination what do you suspect

A

venous injury/wound

Med Con III (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions