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KN JD NPTE: INTEG > Skin Ulcers: Ven, Art, DM, Pressure > Flashcards

Skin Ulcers: Ven, Art, DM, Pressure Flashcards

1
Q 
Venous Ulcers:
Etiology: 
Associated with chronic \_\_\_\_\_ insufficiency
Valvular incompetence
\_\_\_\_\_\_
\_\_\_\_\_hypertension
Calf \_\_\_\_ \_\_\_ failure
A

Venous
DVT
Venous
Muscle pump

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2
Q

Venous Ulcers:
Etiology: Recurrence is _____
_____ insufficiency may co-exist

A

High

Arterial

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3
Q

Venous Ulcers:
Clinical Features:
Can occur anywhere in lower leg: common over area of ____ ____, sometimes _____

A

Med mal, lateral

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4
Q

Venous Ulcers:
Clinical Features:
Pulses: ______

A

Normal

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5
Q

Venous Ulcers:
Clinical Features:
Pain?

A

None to aching pain in dependent position

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6
Q

Venous Ulcers:
Clinical Features:
Color?

A

Normal or cyanosis in dependent position
Hemosiderosis may appear
Liposclerosis

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7
Q

Venous Ulcers:
Clinical Features:
Temp?

A

Normal

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8
Q

Venous Ulcers:
Clinical Features:
Edema?

A

Present, often marked

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9
Q

Venous Ulcers:
Clinical Features:
Skin changes?
Pigmentation, Stasis _______ may be present, thickening of skin as scarring develops

A

Dermatitis

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10
Q

Venous Ulcers:
Clinical Features:
Ulceration: may develop, especially _____ ankle; wet, with _____ _____ of exudate

A

Medial

Large amount

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11
Q

Venous Ulcers:
Clinical Features:
Gangrene?

A

Absent

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12
Q

Venous Ulcers:
Examination:
Venous ulcers are typically ______ and _____ and located over _____ prominences

A

Shallow
Irregular
Bony

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13
Q

Venous Ulcers:
Examination:
Associated findings? Edema, _____ dermatitis, _____-pigmentation, varicosities, and chronic _______

A

Venous
Hyper
Cellulitis

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14
Q

Venous Ulcers:
Examination:
Subjective reports of venous insufficiency include what?

A

Burning, throbbing, cramping, aching, and leg fatigue

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15
Q

Venous Ulcers:

Interventions: Compression wrap worn during ___ and ____

A

Day and night

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16
Q

Venous Ulcers:

Examination: Compression is CONTRA or what two scenarios?

A

Active DVT

Or ABI < 0.7

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17
Q

Arterial Ulcer:
Etiology:
Associated with chronic _____ insufficiency, ________, _______

A

Arterial
Arteriosclerosis obliterates
Atheroembolism

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18
Q

Arterial Ulcer:
Clinical Features:
Can occur anywhere in lower leg, common on ____, _____, and bony areas of trauma (____)

A

Toes, feet

Shin

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19
Q 
Arterial Ulcer:
Clinical Features:
Preceded by signs and symptoms of arterial insufficiency
Pulses are \_\_\_\_\_ or \_\_\_\_\_\_
\_\_\_\_\_ \_\_\_\_\_\_
A

Poor or absent

IC

20
Q

Arterial Ulcer:
Clinical Features:
Pain?
What position is it the worst?

A

OFTEN SEVERE, intermittent, progression to pain at rest

Pain inc with limb elevation

21
Q

Arterial Ulcer:
Clinical Features:
Color?

A

Pale on elevation, rubor on dependency

22
Q

Arterial Ulcer:
Clinical Features:
Temp?

A

COOL

23
Q

Arterial Ulcer:
Clinical Features:
Skin changes?

A

Tropic changes (thin, shiny, atrophic skin)
Loss of hair on foot and toes
Nails thickened

24
Q

Arterial Ulcer:
Clinical Features:
Ulceration?

A

Of toes or feet, can be deep

25
Q

Arterial Ulcer:
Clinical Features:
Gangrene?

A

Black, gangrenous skin adjacent to ulcer can develop

26
Q

Arterial Ulcer:
Exam:
Examine peripheral pulses, temp, segmental BP (Greater than ___ mmHG drop between segments is significant)

A

20

27
Q 
Arterial Ulcer:
Exam:
ABI
Arterial Doppler studies
Outcome measure: \_\_\_\_\_
A

Walking impairment questionnaire

28
Q

Arterial Ulcer:
Interventions:
Manage these 4 things

A

BP
Cholesterol
Triglyceride
Glucose levels

29
Q

Diabetic Ulcer:
Etiology:
Diabetic ulcer is associated with ______ _____ ___ ___ and peripheral ____

A

Atherosclerotic PAD and peripheral neuropathy

30
Q

Diabetic Ulcer: Etiology:

Caused by loss of ____ sensation, loss of muscle ______, and mechanical trauma

A

Protective

Coordination

31
Q

Diabetic Ulcer:
Clinical features:
Occurs where arterial ulcers usually approach; or where peripheral neuropathy appears (_____ ____ ___ ____)

A

Plantar aspect of foot

32
Q

Diabetic Ulcer:
Clinical features:
Pain?

A

Typically NOT painful

Sensory loss usually present

33
Q

Diabetic Ulcer:

Clinical features: Pulses?

A

May be present or diminished

34
Q

Diabetic Ulcer:
Clinical features:
Absent ______ ____ with neuropathy

A

Ankle jerks

35
Q

Diabetic Ulcer:
Clinical features:
_____ common
____ may develop

A

Sepsis

Gangrene

36
Q 
Diabetic Ulcer:
Exam:
1. Exam general condition of extremity
2. Exam for \_\_\_\_\_ insufficiency
3. Exam for \_\_\_\_\_ \_\_\_\_\_: with \_\_\_\_\_ \_\_\_\_ of sensory integrity
A

Vascular
Peripheral neuropathy
Monofilament testing

37
Q

Diabetic Ulcer:

Intervention: Off loading the wound by using protective therapeutic ________

A

Footwear

38
Q 
Pressure Ulcer (decubitus ulcer):
Etiology: lesions caused by \_\_\_\_\_\_\_ pressure resulting in \_\_\_\_\_ hypoxia and damage to underlying tissue
A

Unrelieved

Ischemic

39
Q 
Pressure Ulcer (decubitus ulcer):
Risk Factors:
1. Prolonged pressure, shear forces, friction, repetitive stress
2. \_\_\_\_\_\_\_ deficiency
3. Maceration
4. Common in \_\_\_\_, \_\_\_\_\_, or \_\_\_\_\_ pts
Decreased blood flow from hypotension or microvascular disease (\_\_\_\_, \_\_\_\_)
Neuro impaired skin: decreased \_\_\_\_\_\_
Cog impairment
A

Nutrition

Elder, debilitated, immobilized

DM, atherosclerosis

Sensation

40
Q

Pressure Ulcer (decubitus ulcer):
Clinical Features:
Location?

A

Over bony prominences (sacrum, heels, trochanter, M/L mal, ischial areas

41
Q

Pressure Ulcer (decubitus ulcer):
Clinical Features:
Color?

A

Red
Brown/black
Yellow

42
Q

Pressure Ulcer (decubitus ulcer):
Clinical Features:
Localized _______

A

Infection

43
Q

Pressure Ulcer (decubitus ulcer):
Clinical Features:
Pain?

A

Can be painful if sensation intact

44
Q

Pressure Ulcer (decubitus ulcer):
Clinical Features:
Inflammatory response with ______ tissue: hyperemia, fever, increased WBC

A

Necrotic

45
Q

Pressure Ulcer (decubitus ulcer):
Clinical Features:
If left untreated, will progress to superficial simple erosion to involvement of _____ layers of skin and underlying ____ and ____

A

Deep

Muscle and bone

46
Q

Pressure Ulcer (decubitus ulcer):
Clinical Features:
Exam:
Use a standardized pressure ulcer assessment such as?

A

Bates Jensen wound assessment tool

Pressure ulcer scale

47
Q

Pressure Ulcer (decubitus ulcer):
Clinical Features:
Exam:
Examine circulation, sensory integ, and pain level
Utilized a risk assessment instrument for individuals at risk for development of pressure ulcers like what?

A

Gosnell, Braden, or Norton scales

Braden Q for kids

KN JD NPTE: INTEG (15 decks)

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