Shared Flashcard Set

Details

Compression
Lecture and Lab
30
Medical
Graduate
07/03/2015

Additional Medical Flashcards

 


 

Cards

Term
congenital form of lymphedema caused by a malformation of the lymph vessels or nodes
Definition
primary lymphedema
Term
caused by damage to the lymph system. Often occurs after oncologic treatments including surgery, lymph node dissection, chemotherapy, or radiation. Can also occur as a result of trauma, burns, or damage to the vascular system
Definition
secondary lymphedema
Term
complete decongestive therapy includes what (4)
Definition
manual lymph drainage, compression, exercise, skin care
Term
initial/intensive phase of treatment of lymphedema consists of what (4)
Definition
MLD, wrapping with compression bandages, exercise, skin care education
Term
second phase of lymphedema treatment consist of what (4)
Definition
home management with compression garments, self massage, skin care, exercise
Term
S/S of lymphedema (4)
Definition
complaints of tightness or heavy feeling, decreased flexibility in the joints, tight fitting clothing or jewelry, tingling or crawling feeling on the skin
Term
How many stages of lymphedema are there
Definition
3
Term
S/S of Stage 1 Lymphedema
Definition
pitting edema, no fibrosis, elevation usually reverses swelling
Term
S/S of Stage 2 Lymphedema
Definition
some hardening of tissues noted. Pressure does not cause it to pit. Has potential to become fibrotic and non reversible if not agressively treated
Term
S/S of Stage 3 lymphedema
Definition
elephantitis, fibrotic, irreversible
Term
Short Stretch bandages: ______ working pressure, ______ resting pressure
Definition
high, low
Term
when are short stretch bandages used in lymphedema treatment?
Definition
intensive phase of treatment
Term
Long stretch bandages have ______ working pressure, ______ resting pressure
Definition
low, high
Term
when are long stretch bandages used?
Definition
generalized edema, ACE bandage
Term
When are compression garments worn?
Definition
once decongenstion of the limb has plateaued with badnages
Term
Compression classes: CC I
Definition
20-30 mm/hg
Term
Compression classes: CC II
Definition
30-40 mm/hg
Term
Compression classes: CC III
Definition
40-50 mm/hg
Term
Compression classes: CC IV
Definition
60+ mm/hg
Term
compression garments are NOT an alternative to what
Definition
MLD
Term
Absolute contraindications for compression therapy (4)
Definition
cardiac edema, peripheral artery disease, constriction phase of RSD, acute infections
Term
RSD
Definition
reflex sympathetic dystrophy
Term
Relative contraindications to compression therapy (9)
Definition
hypertension, cardiac arrhytmias, impaired sensation in extremities, partial/complete paralysis, age, CHF, mild/moderate arterial disease, diabetes, malignant lymphedema
Term
Indications for compression therapy (3)
Definition
lymphedema, chronic venous insufficiency, wound care,
Term
Compression: Pre intervention assessment (4)
Definition
circulation (pulse, capillary refill), girth, observation of area's morphology, tolerance for pressure exerted on skin, skin integrity
Term
Typical treatment time using a compression pump for a patient with lymphedema
Definition
2 hours - 2 3 hour sessions daily
Term
Typical treatment time using a compression pump for a patient with traumatic edema
Definition
2 hours daily
Term
Typical treatment time using a compression pump for a patient with venous ulcers
Definition
2.5-3 hours per week to 2 hours daily
Term
Typical treatment time using a compression pump for a patient with residual limb reduction
Definition
4 hours daily
Term
symptoms the patient should NOT feel during compression therapy (4)
Definition
numbness, tingling, pulsing, pain
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