Venous Insufficiency Ulcer CAT

Question 1

What can a venous insufficiency ulcer form as a result of?

Answer 1

• Venous hypertension
• Secondary to valve failure or peripheral impedance
• Over time, tissue pressure decreases skin resilience and endothelial damage that allows enzyme and free radical leakage into the tissue

Question 2

Clinical presentation for venous insufficiency ulcer

Answer 2

• Medial surface of the lower leg b/t mid-calf and malleolus
• Shallow in depth than arterial and neuropathic ulcers
• Irregular wound borders
• Moist wound bed w/ red granulation tissue
• Moderate to heavy exudate

Question 3

Medical management of venous insufficiency ulcer

Answer 3

• Close abnormal veins
• Diuretics, antibiotics, antimicrobial agents
• Surgical intervention

Question 4

PT management

Answer 4

• Wound care
• Skin care
• Activity management