Integumentary Flashcards
What is in an unna boot dressing used for?
Venous insufficiency ulcers
What dressings are autolytic debriders and should not be used on infected wounds
Hydrogel
Hydrocolloid
Transparent films
Occlusive dressings
Where do arterial insufficiency ulcers typically occur?
Lateral malleolus and toes
What are 4 characteristics of arterial wounds?
Deep
Painful
Cold skin
Pale skin
What are treatments of arterial wounds? (5)
Elevate HOB moderately Stop smoking Wound care Range of motion Protective environment
What are 5 characteristics of venous wounds? Where do they likely occur?
Painless Superficial Good pulses Edema present Hemosiderin deposit Usually located on medial ankle
What are 2 vital treatments for venous ulcer? What are 3 other treatments?
Elevation and compression to control edema
Active exercise
Support garments
Compression stockings for long term management
How are diabetic ulcers staged?
Wagner scale
How are diabetic ulcers treated?
Debride necrotic tissue
Promote moist wound healing
Offload ulcer
What are 2 ways to offload diabetic ulcer?
Weight bearing status change with AD
Total contact cast
Rocker bottom sole
What are contraindications for total contact cast?
Infection or ulcer depth greater than width
What 2 things should the therapist be concerned with when treating epidermal burns
Protecting and moisturizing the epithelial cells to promote wound healing
Following skin grafting what 2 interventions are utilized to the injured part?
Rest
Compression from pressure garments to prevent hypertrophic or keloid scarring
What are 6 interventions utilized with burn patients?
Prevent contracture ROM Strength Endurance Normal ADL function
What are 3 exercises used to prevent pneumonia with burn patients?
Deep breathing exercises
Ambulation
Chest expansion
