Week 2 AI Interventions Flashcards

1
Q

what does the Therex before a wound look like

A

you address modifiable risk factors, and positioning to avoid excessive hip and knee flexion, and gentle flexibility, and aerobic exercise like walking

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2
Q

what is the benefit of positioning to avoid excessive hip and knee flexion

A

to put the major arteries not in a poor position

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3
Q

why do we do aerobic think vessels

A

collateral vessel formation and weight loss too

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4
Q

what is the benefit of screening and monitoring

A

you are considering that a high percent of people with CAD have AI, and excessive exercise will direct blood away from the muscles, which will lead to pain

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5
Q

what is the prescriptive exercise listed by Kisner and Kolby

A

walking or biking until the onset of pain, then rest and repeat to Bettie utilize oxygen, and increase ability for work, and encourage collateralization (with the ischemia)

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6
Q

what is the goodman exercise program

A

progressive conditioning, walk until pain rest then again, and progress to max tolerable pain before you rest. goal is to progress to 30-45 minutes without pain in 6-8 weeks

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7
Q

is goodman a good option for an HEP

A

no, because that is a lot for patients to do on their own

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8
Q

what is the McCullough and Kloth program

A

3x/week, short bouts of treadmill with 40-60 minutes each session, to improve oxygen metabolism, collateralization, improve blood viscosity, and improve walking economy

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9
Q

what is the plan for intervention with an AI wound

A

treat, wait for auto amputation, surgical or conservative

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10
Q

what do we want to do with gangrene?

A

watch that is does not convert over to wet, and protect it, with dry padded NWB type things

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11
Q

what else do we want to do when there is a wound

A

moisturize it, monitor for infection, ROM for the joints and muscles, exercise and walking, and foot care guidelines.

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12
Q

what are some referrals we can make for people with AI

A

dietician to reduce caffeine, smoking and address nutrition and hydration,
diabetic educator
podiatry (especially for toenails)
prosthetics with an amputation

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13
Q

with AI, can you use moist dressings

A

you can never use them on dry gangrene or eschar, and you need to be careful with all other times.

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14
Q

how should you treat AI ulcers,

A

treat them all as if they are unsealable, and proven healable. and keep them dry

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15
Q

do we want to use adhesives with AI ulcers

A

no tape because the skin is fragile

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16
Q

what is the PT role in wound care

A

identify, refer, monitor and educate, also exercise, and treat after re-vascularization occurs

17
Q

describe debridement with AI

A

there is decreased blood flow and poor healing, you so never go sharp debridement, and you also don’t debride if the ABI is less than or equal to 0.8

18
Q

TF: it is bad to keep hard eschar on the heel

A

false, it is okay to keep

19
Q

what are the compression guidelines that follow ABI in AI

A
  • ABI less than or equal to 0.8 can compress with 35-40mmHg, below this may see claudication and need MD okay.
  • ABI below 0.8 but over 0.6 be cautious with light compression between 17 and 25mmHg
  • ABI less than 0.5 no compression and you will get pain at rest
20
Q

what do you do after re-vascularization and Amputation

A

ensure their status and monitor and go after it with moist wound environment and debride.

stump wrapping and shaping with prosthetics, and ROM, positioning, STR, mobility, balance, offloading and work with the podiatrist for shoes.

21
Q

what are great ways to prevent AI wounds

A

recognize risk factors and encourage lifestyle changes, smoking cessation, control you DM, take prescription meds, healthy diet and hydration, exercise 30 minutes to control stress, soft shoes, avoid cold, offloading and positioning, and bed sheets and blankets, use a soft heel life boot for bed to not get the shear.