Week 2 VI Flashcards
1
Q
what is the location of a VI wound
A
above the malleoli and in the distal 3rd of the lower leg,
2
Q
what is the surrounding skin of a VI wound like
A
- hyper pigmentation, hemosiderin staining,
- lipodermatosclerosis, (scarring, hard thicker and immobile sin that can cause a champagne bottle leg).
- hypertrophic changes thick scaly epidermis and breaking in the skin can lead to bacteria and cellulitis.
- irritation from exposure to drainage or dressing of constant compression
- varicose veins (overloaded backed up system)
3
Q
what are some wound characteristics (edges, depth, exudate, and pain)
A
uneven edges and diffuse, also shallow. highly exudative, and serous drainage, (little to no= AI). pain is usually not too bad.
4
Q
what is the peri wound like
A
maceration is common initially or with inadequate dressing or changing schedule, diffuse edges and irritation