Wound Management (Quiz 2)

Question 1

Claudication

Answer 1

Occurs w/exercise, not present at rest, relived by 10 min of rest

cramping, aching, or muscle weakness

foot, calf, butt, thigh

Question 2

Arterial ulcer Location

Answer 2

**Boney prominences below knee **

between web spaces or tips of toes

phalangeal heads

lateral malleolus

mid tib area

areas exposed to trauma or footwear friction

Question 3

Arterial Ulcer Appearance

Answer 3

punched out edged

dry, pale, necrotic

minimum to absent granulation tissue

minimum exudate

possible wound depth

gangrene

no adequate

do not have addequate perfusion to sustain acute phase

Question 3

Arterial Ulcer Appearance

Answer 3

punched out edged

dry, pale, necrotic

minimum to absent granulation tissue

minimum exudate

possible wound depth

gangrene

no adequate

Question 4

Venous Ulcer Location

Answer 4

LE at the pretibial and medial supra malleolar areas of ankle

bottle neck deformity

Question 5

Venous Ulcer Skin Signs

Answer 5

Hemosiderosis, venous dermatitis, lipodermatosclerosis

Question 6

Venous Ulceration descriptions

Answer 6

edema
pulse present
moist
irregular edges
ruddy
yellow

Question 7

Normal Venous Function

Answer 7

all veins equipped w/ one way valves

venous return achieved by: vascular muscle tone, contraction of calf muscle pump, and intrathoracic pressure

Question 8

Goals of venous disease treatment

Answer 8

1. decrease venous pressure
2. decrease or prevent edema
3. optimize wound healing environment
4. prevent recurrance
5. look to vascualture to prevent recurrence

Question 9

Prevention for Diabetic Ulcers

Answer 9

• podiatric care
• protective shoes
• pressure reduction
• prophylactic surgery
• preventive education

Question 10

Diabetic ulcer location

Answer 10

comonly below ankle, on the foot

Question 11

diabetic ulcer description

Answer 11

small
callused edge
dry/necrotic
localized
absent
neuropathy

Question 12

Sensory neuropathy

Answer 12

• impairment of nerve function
• 50% of patients with DM
• loss of sensation
• risk of mechanical, chemical, and thermal trauma
• unable to alter gait pattern or shift weight

Question 13

Motor Neuropathy

Answer 13

• wasting of intrinsic muscles of foot
• weakness
• poor proprioception/imbalance
• structural deformity

structural deformity can include: claw toes, hammer toes, and high arch

Question 14

Risk Factors for Ulcers

Answer 14

• loss of sensation
• Main:neuropathy/PVD
• Other:deformity,limit joint mobility, microvascular disease, high infection susceptibility
• LACK OF EDUCATION