Pneumatic Compression

Question 1

• swelling due to build-up of lymph fluid in the body
• unilateral

Answer 1

Lymphedema

Question 2

• used to provide support to people who stand for longer periods or people with poor circulation
• aids in reducing swelling by lessening the amount of edema formed within the involved extremity
• garments may be obtained in a gradient format in which distal compression is greater than proximal compression

Answer 2

Compression garments

Question 3

uses of compression garments

Answer 3

• control edema in an extremity
• assist in the return of venous circulation in LE
• decrease in the formation of extensive scar tissue resulting from a burn

Question 4

disadvantages of compression garment

Answer 4

• contain body heat & restrict heat loss
• difficult to apply
• elastic properties are reduced over time and frequent replacements are needed

Question 5

measurements for pressure gradient garment

Answer 5

• paper measuring tapes
• 1 1/2 inches from distal to proximal aspect of extremity

Question 6

• pneumatic device that applies external pressure to an extremity through an inflatable appliance (sleeve)
• the patient has no arterial insufficiency & thrombophlebitis
• may be single compartment sleeve or sequential compartment sleeve

Answer 6

intermittent pneumatic compression device

Question 7

an inflammatory process that causes a blood clot to form and block one or more veins, usually in the legs

Answer 7

thrombophlebitis

Question 8

treatment parameters of IPC

Answer 8

• inflation pressure
• on-off time
• total treatment time

Question 9

• should not be lower than 30 millimeter mercury
• difference between distal part and proximal part should be 20 mmHg with the distal part having the highest pressure (single compartment sleeve)

Answer 9

inflation pressure

Question 10

• patient comfort should be the primary deciding factor
• 30 seconds on, 30 seconds off

Answer 10

on-off sequence

Question 11

edema on-off sequence

Answer 11

3:1

Question 12

stump shaping on-off sequence

Answer 12

4:1

Question 13

total treatment time

Answer 13

20-30 minutes

Question 14

UE inflation pressure

Answer 14

40-60 millimeter mercury

Question 15

LE inflation pressure

Answer 15

• LE = 60 - 90 millimeter mercury

Question 16

total treatment time venous ulcer

Answer 16

2 and a half hour
3 times per week

Question 17

• more treatment times per day may also be an advantage in controlling and reducing edema from various musculoskeletal injuries

Answer 17

total treatment time

Question 18

• multiple compartment designs
• highest pressure is the distal sleeve and is determined by the mean value of systolic to diastolic pressure
• middle cell is set 20 mmHg lower than the distal cell, and the proximal cell pressure is reduced an additional 20 mmHg

Answer 18

sequential compression pumps

Question 19

indications of IPC

Answer 19

• lymphedema
• post mastectomy
• traumatic edema
• chronic edema
• amputated limbs
• prevention of thrombophlebitis

Question 20

precautions of IPC

Answer 20

• impaired pressure sensation
• malignancy
• uncontrolled hypertension

Question 21

contraindications of IPC

Answer 21

• acute inflammation
• trauma or fracture
• acute deep venous thrombpsis and thrombophlebiitis
• obstructed lymph or venous return
• arterial disease/insufficiency
• acute pulmonary edema
• diminished sensation
• edema with cardiac or renal impairment

Question 22

the pt is positioned supine or sitting, the sleeve is applied and extremity is ___ above the level of the heart

Answer 22

elevated

Question 23

can be applied be applied before application of the sleeve to help maintain cleanliness of the inside of the sleeves

Answer 23

stockinet

Question 24

maximum compression force should be above the pt’s systemic diastolic blood pressure but should not exceed his/her ___ to avoid possible cardiovascular complications

Answer 24

systolic pressure

Question 25

treatments may be scheduled for up to ___ and may be repeated several times/day

Answer 25

1 hour

Question 26

will be advantageous to reduce the edema in an extremity before measurement for a ____. the garment can be measured more accurately and will be more likely to control the residual edema

Answer 26

graded compression garment

Question 27

pt can be instructed to perform ___ exercises and to elevate the extremity 2 or 3 times/hour to assist with edema control

Answer 27

active pumping

Question 28

c/o numbness, tingling, or other forms of paresthesia by the pt may indicate the treatment should be

Answer 28

terminated

Question 29

observe and palpate the extremity and measure the circumference periodically if ___ was the condition being treated

Answer 29

lymphedema