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Integumentary > Practical #2 > Flashcards

Practical #2 Flashcards

1
Q

Neuropathic Wounds Pain

A

Lack of pain complaint due to neuropathy

Possible paresthesias

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2
Q

Neuropathic Wounds Position

A

Plantar foot
Plantar aspect of metatarsal heads
Plantar aspect of midfoot if Charcot deformity
May occur under calluses
May occur in areas of pressure/friction from inappropriate footwear

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3
Q

Neuropathic Wounds Presentation

A

Round, punched-out lesions
Callused rim
Minimal drainage unless infected
Eschar or necrotic material uncommon unless infected

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4
Q

Neuropathic Wounds Periwound

A 
Skin is dry, cracked
Callus present
Structural deformities
Claw toes
Rocker-bottom foot/Charcot deformity
Prior amputation
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5
Q

Neuropathic Wounds Pulses and Temp

A

both normal

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6
Q

Neuropathic Tests and Measures

A

Sensory integrity
Sensation to light touch
Sensation to vibration

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7
Q

Neuropathic Education

A

Daily foot checks

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8
Q

Neuropathic PT Inteventions

A

Offloading

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9
Q

Neuropathic in clinic

A

Estim

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10
Q

Arterial Pain

A

Pain, often severe, increased with elevation

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11
Q

Arterial Position

A 
Primarily lower extremity
Commonly toes, lateral malleolus, anterior leg
Rarely above the knee
Trauma key precipitating factor
Distal toes
Dorsal foot
Areas of trauma
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12
Q

Arterial Presentation

A 
Round, regular
May conform to precipitating trauma
Pale granulation tissue if present
Possible necrotic tissue/black eschar/ Gangrene
Minimal or no bleeding/drainage
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13
Q

Arterial Periwound

A 
Thin, shiny, anhydrous skin
Loss of hair growth
Thickened, yellow nails
Pale, dusky, cyanotic skin
Possible muscle atrophy
Possible dependent rubor
Loss of hair growth
Thickened, yellow nails
Pale, dusky, cyanotic
Black eschar
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14
Q

Arterial Pulses and Temperature

A

decreased in both

pulses can be absent

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15
Q

Arterial Tests and Measures

A

ABI
TBI
TCPO2

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16
Q

Arterial Education

A

Protect feet and legs from

trauma, chemicals, excessive heat and cold

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17
Q

Arterial PT Interventions

A

Aerobic Exercise

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18
Q

Arterial in clinic

A

Estim

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19
Q

Venous Pain

A

Mild to moderate

Decreased with elevation/compression

20
Q

Venous Position

A

Medial malleolus
Medial lower leg
Areas of trauma

21
Q

Venous Presentation

A

Irregular shape
Red, ruddy wound bed
Fibrous, glossy coating
Copious drainage

22
Q

Venous Periwound

A

Edema
Cellulitis, dermatitis
Hemosideran deposition
Lipodermatosclerosis

23
Q

Venous Pulses and Temperature

A

Normal

Normal to mild warmth

24
Q

Venous Tests and Measures

A

ABI

25
Q

Venous Education

A

Etiology

Calf Muscle Pump

26
Q

Venous PT Intervention

A

Elevation

27
Q

Venous in Clinic

A

Compression

28
Q

Pressure Pain

A

Category I pressure ulcers may be tender instead of painful
Patients with neurological deficits may not perceive pain
Patients who are unable to communicate may demonstrate pain by grimacing, withdrawal, or moaning

29
Q

Pressure Ulcer Position

A

Majority on lower half of body over boney prominence
95% of pressure ulcers located over sacrum, greater trochanter, ischial tuberosity, posterior calcaneous, lateral malleolus
Areas of outside pressure:
casts, tubing, shoes

30
Q

Pressure Presentation

A

Patients with full-thickness pressure ulcers more likely to have multiple ulcers

31
Q

Pressure Periwound

A

Nonblanchable erythema
Mottled
Ring of inflammation around ulcer
Dermatitis

32
Q

Pressure Pulses

A

Usually not applicable due to proximal ulcer location

Usually normal unless concomitant PVD

33
Q

Pressure Temperature

A

Increased in areas of reactive hyperemia

Decreased in areas of ischemia

34
Q

Pressure tests and measures

A

Pressure ulcer staging

35
Q

Pressure ulcer education

A

Control pressure and shear forces
Positioning/offloading/pressure relief/turn schedule
Importance of proper support surfaces (mattress/cushion)

36
Q

Pressure PT Inteventions

A

Assist with mobility, transfers, and weight shifts
Flexibility exercise to minimize contractures
Gait training
Transfers and bed mobility
Emphasize minimizing friction and shear

37
Q

Pressure ulcer in clinic

A

Estim

38
Q

Pressure Ulcer Stage I:

A

Intact skin with non-blanchable redness of a localized area

39
Q

Pressure Ulcer Stage II:

A

Partial thickness loss of dermis. Presents as a shallow open ulcer with a red pink wound bed without slough

40
Q

Pressure Ulcer Stage III

A

Full thickness tissue loss

Subcutaneous fat may be visible but bone, tendon or muscle not exposed

41
Q

Pressure Ulcer Stage IV:

A

Full thickness tissue loss with exposed tendon or muscle

42
Q

Estim Frequency:

A

80–115 Hz

43
Q

Estim Intensity

A

75–200 V

44
Q

Estim interpulse

A

50–100 microseconds

45
Q

Estim time

A

45-60 mins

3–7 day/wk for 30 min/day

Integumentary (18 decks)

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