Integumentary

Question 1

Absent pulse

Answer 1

0

Question 2

Diminished pulse

Answer 2

1+

Question 3

Normal pulse

Answer 3

2+

Question 4

Accentuated pulse

Answer 4

3+

Question 5

ABI- Vessel Calcification

Answer 5

1.1 - 1.3

Question 6

ABI- Normal

Answer 6

0.9 - 1.1

Question 7

ABI- mild to mod arterial insufficiency

Answer 7

0.7 - 0.9

Question 8

ABI- Mod arterial insufficiency, intermittent claudication

Answer 8

0.5 - 0.7

Question 9

ABI- severe arterial insufficiency, rest pain

Answer 9

Less than 0.5

Question 10

ABI- rest pain and gangrene

Answer 10

Less than 0.3

Question 11

Rubor of Dependency

Answer 11

normal = 15-20 sec
pallor within 25 sec of elevation –> severe AI
pallor after 30-45 sec –> mod AI
pallor after 45-60 sec –> mild AI

Question 12

Venous Filling time

Answer 12

less than 5 sec= venous insufficiency
5 - 15 sec = normal
Greater than 20 sec = arterial insufficiency

Question 13

Calculating ABI

Answer 13

ABI= Systolic LE / Systolic UE

Question 14

Capillary Refill Test

Answer 14

Hold nail until blanchable for 5 sec

Normal arterial insufficiency –> less than 3 sec

Question 15

Rubor of Dependency

Answer 15

normal = 15-20 sec
pallor within 25 sec of elevation –> severe AI
pallor after 30-45 sec –> mod AI
pallor after 45-60 sec –> mild AI

Question 16

5 PT Method

Answer 16

Pain, position, presentation, periwound, pulses, temperature

Question 17

Compression Level

Answer 17

Class 0

Nonambulatory patients

Question 18

Compression Level 20-30 mmHg

Answer 18

Class 1
Mild VI
VI w/ mild AI

Question 19

Compression Level 30-40 mmHg

Answer 19

Class 2

Mod VI

Question 20

Compression Level 40-50 mmHg

Answer 20

Class 3

Severe VI

Question 21

Compression Level 50+ mmHg

Answer 21

Class 4

Severe VI, rarely used