Wound Management 4 (tables) Flashcards
Arterial - risk factors
PVD
DM
Age
Venous - risk factors
Hx thrombophlebitis
Venous valve insufficiency
Obestiy
Age
Neuropathic - risk factors
DM
Leprosy
Neurologic pathologies
Pressure - risk factors
Immobility
Dec nutritional status
Excessive moisture
Pressure
Arterial - Anatomic location
Distal
Btw or on top of toes
Lateral malleolus
Venous - Anatomic location
Medial lower leg
Immediately above malleolar area
Neuropathic - Anatomic location
Plantar surface of foot
Areas of skeletal/joint deformity
Pressure - Anatomic location
Pressure areas
Arterial - size
Generally small
Venous - size
Variable
Neuropathic - size
Usually small to start and then increases
Pressure - size
Variable
Inc risk of undermining
Arterial - Shape
round
punched out
Venous - shape
irregular
Neuropathic - shape
generally round
Pressure - shape
round but as size inc, tends to become irregular
Arterial - margins
Smooth
Venous - margins
irregular
Neuropathic - margins
Smooth
Pressure - margins
Varies
Arterial - base
Pale, pink
Venous - base
Red
Often granular looking
Exudate
Neuropathic - base
Variable
Frequently has necrotic tissue
Pressure - base
Variable
Arterial - depth
Tend to be deeper than venous
Venous - depth
Shallow
Neuropathic - depth
Varies
Might have undermining or tunneling
Pressure - depth
Varies
might have undermining or tunneling
Arterial - peri wound area
Pal
might be purpuric
possible cellulitis
Venous - peri wound area
Pigmented
Lipomermatosclerosis
Neuropathic - peri wound area
Calluses might be present
Pressure - peri wound area
Pressure effects might be seen
Arterial - pain
Yes
Can be severe
Venous - pain
Varies
Often has very little pain
Edema - so leg might be painful but not necessarily the wound itself
Neuropathic - pain
None
Pressure - pain
Varies
Often not the wound, but stage 3 and 4 for example will have a lot of pain in surrounding tissue
Arterial - other characteristics
Thin, shiny skin
Cyanosis
Limited pulses
Decreased temp
Venous - other characteristics
Limited ROM at ankle and often knee
Neuropathic - other characteristics
Absent sensation
Loss of subQ, fat
Foot deformities
Warm foot
Pressure - other characteristics
Presence of risk factors