Ulcers Flashcards
What are the “big 3” complications of diabetes?
- blindness
- kidney failure
- foot and leg amputation
What is the recommended visit for a patient that is category 0: no neuropathy?
annual visit
What is the recommended visit for a patient that is cateogry 1: neuropathy?
semi-annual
what is the recommended visit for a patient that is category 2: neuropathy, PVD, and/or deformity?
quarterly
what is teh recommended visit for a patient that is category 3: previous ulcer/ amputation?
monthly to quarterly
What is considered appropriate care for corns and callouses?
- non medicated corn pads
- pumice stone
- moisturizing lotion
- good fitting shoes and inserts
- professional debridement
- surgery to fix deformities
what is NOT considered appropriate care for corns and callouses?
self sharp debridement
medicated corn pads
heating pads
what are some things to consider when caring for wounds?
- type of wound
- if infected, is it limb threatening or non-limb threatening?
- acute vs. chronic
what are some things to describe an ulcer?
- location
- size and depth
- margins- irregular or well-circumscribed?
- base- granular, fibrotic, slough?
- undermining
- sinus tracts
- probe to bone
- signs of infection
Grade this wound with Wagner classification: pre-ulcerative lesion.
Wagner grade 0
Grade this wound with Wagner classification: superficial without subcutaneous involvement.
Wagner Grade 1
Grade this wound with Wagner classification: penetration thru SC tissue (may expose tendon, bone, ligament, joint capsule).
Wagner Grade 2
Grade this wound with Wagner: osteitis, abscess or osteomyelitis.
Wagner Grade 3
Grade this wound with Wagner: gangrene of forefoot.
Wagner Grade 4
Grade this wound with Wagner: gangrene of entire forefoot.
Wagner Grade 5
