pneumatic compression

Question 1

what’s the purpose?

Answer 1

decrease edema (lymphedema/venous insufficiency)
prevent DVTs- after surgery, prolonged bedrest
chronic edema

Question 2

types of pumps?

Answer 2

single chamber

multichamber

Question 3

contraindications?

Answer 3

infection
venous thrombosis (clot)
edema due to CHF, renal failure
metastatic disease
arterial occlusion

Question 4

parameters?

Answer 4

• should not exceed pt’s diastolic pressure!!
• 15-20% or more below diastolic pressure. start at lower pressure and set pump according to pt’s comfort
• most lymphedema therapists recommend arm patients should generally not go above 40mmHG of pump pressure
• can be used for 1 to 4 hours daily
• optimal pressure ranges, inflation/deflation cycles, and the length and freq of individual pump sessions have not been established!

Question 5

Instruct pt to stop treatment immediately if…

Answer 5

numbness
loss of sensation
pain
coldness
pins and needles
cramping
difficulty breathing
heaviness in chest

Question 6

fluid is often pushed out of limp and into where?

Answer 6

chest wall for UE pts

groin for LE pts

Question 7

compression stockings pressure range?

used for?

Answer 7

5-40mmHG

used for

• mild swelling
• varicose veins
• venous insufficiency
• lllymphedema

can be difficult to put on, cheaper than pneumatic compression sleeves