Venous Insufficiency and Surgical Wounds - Class 4 Flashcards
venous insufficiency ulcers are caused by
unrelieved venous hypertension in LEs
–> d/t incompetent perforator valves
venous insufficiency ulcers are usually located
medial ankle
gait area
venous insuff LE presents w/
firm edema
dilated superficial veins
possible dermatitis
hyperpigmentation
venous insufficiency ulcers are
highly draining
venous ulcers present as
superficial wound
irregular margins
ruddy granular
venous ulcers –> exudates
usually w/ heavy exudates
venous ulcers –> pain
no pain
tests for venous vasculature
venous doppler
Trendelenburg test
percussion test
cuff test
venous insufficiency intervention
reduce venous hypertension
compression therapy
leg elevation
re-establishing calf-muscle pump
exercise activity
local wound care to absorb heavy exudates
venous insufficiency interventions –> compression therapy
obtain ABI
–> if <0.8 –> no compression tx
acute surgical wound
incision
heal w/in a specific time frame
types of surgical wound closure
primary (acute surgical wound)
secondary (left open)
tertiary (delayed primary) (cut them, let infection resolve, let soft tissue edema resolve then close them)
assessment of acute surgical wound
suture/wound
surrounding skin tissue
as it related to the 3 phases of healing
how do we asses an acute wound
measurement of incision
wound tissues
wound closure
exudate
palpation of suture line
palpation and color of surrounding tissue
exudate –> assessment
amount and type