Final: E-Stim for Wounds Flashcards

1
Q

What are the four mechanisms underlying electrical currents

A
  1. Galvanotaxis to attract appropriate cell types
  2. Activate cells by alerting cell membrane function
  3. Enhance antimicrobial activity
  4. Enhance circulation
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2
Q

Which type of cell does electrical stimulation activate?

A

fibroblasts

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3
Q

Electrical stimulation activates fibroblasts which enhances cell _____ and their production of _____.

A

replication; collagen

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4
Q

Electrical stimulation promotes (epidermal/dermal) and lymphocyte migration and function

A

epidermal

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5
Q

Electrical stimulation promotes epidermal and ____ migration and function

A

lymphocyte

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6
Q

True or False:

AC does not kill bacteria

A

true

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7
Q

Antimicrobial effects- HVPC and DC both (do not/can) kill bacteria

A

can

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8
Q

What two currents can kill bacteria

A

HVPC and DC

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9
Q

Which type of current does NOT kill bacteria

A

AC (alternating current)

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10
Q

Is the voltage needed to kill microbes feasible in a clinical setting?

A

no

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11
Q

Although voltage needed to kill microbes is not feasible in the clinical setting, more tolerable voltage can (enhance/reduce) the antibiotic in the destruction of ______

A

enhance, biofilm

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12
Q

Which term describes the movement of cells in response to the electrical field

A

galvanotaxis

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13
Q

_____ is the movement of cells in response to the electrical field

A

galvanotaxis

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14
Q

The rule of thumb regarding polarity and wounds states that

(positive/negative) electrodes promotes healing of inflamed or infected wounds and
(positive/negative) electrodes promote healing of wound without inflammation

A

negative; positive

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15
Q

In regards to the rule of thumb of polarity and wounds, when would you use negative electrodes

A

To promote healing of inflamed or infected wounds

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16
Q

In regards to the rule of thumb of polarity and wounds, when would you use positive electrodes

A

To promote healing of wounds without inflammation

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17
Q

Studies support that e-stim facilitates would ____ of chronic wounds

A

healing

18
Q

How does e-stim facilitate wound healing? (Hint: There’s three reasons)

A
  1. Improves percentage and weekly change in ulcer size
  2. Increases likelihood of complete wound closure
  3. Saves health care costs
19
Q

E-stim can be used to control ____

A

edema

20
Q

When using e-stim to control edema due to inflammation, the (positive/negative) polarity HVPC retards formation of (acute/chronic) edema

A

negative; acute

21
Q

True or False:

When treating a patient with e-stim due to inflammation, the area being treated will be cold, pale, and swollen

A

false it will hot, red, and swollen.

Edema due to a lack of muscle control will be cold, pale and swollen

22
Q

When using e-stim to treat a patient with edema due to inflammation, the negative charge repels (negative/positive) charged serum proteins

A

negative

23
Q

When using e-stim to control edema due to inflammation, roughly ____% reduction will be shown; similar magnitude to _____ or cold water immersion

A

50%; ibuprofen

24
Q

When using e-stim to control edema due to lack of muscle control, (unhealthy/healthy) muscles contract to promote ___ return from periphery

A

healthy; fluid

25
Q

When using e-stim to control edema due to lack of muscle control, the area will be (hot/cold), (red/pale), and swollen

A

cold; pale

26
Q

When using e-stim to control edema due to lack of muscle control, it is treated with (motor/sensory) level e-stim and elevation

A

motor

27
Q

When treating a patient for edema control with electrical stimulation, the treatment can be combined with or followed by _____

A

elevation and compression

28
Q

What does HVPC stand for

A

high voltage pulsed current

29
Q

Twin peak wave forms are also _____ waves

A

monophasic

30
Q

In regards to HVPC, the small electrode is called the (active/dispersive) electrode

A

active

31
Q

In regards to HVPC, the larger electrode is called the (active/dispersive) electrode

A

dispersive

32
Q

True or False:

When treating edema due to lack of muscle control, a clinician should use pulse biphasic or russian protocol

A

true

33
Q

Where would the electrode placement be when treating edema that’s due to lack of muscle control

A

on muscles around main veins draining the area

34
Q

What is the on:off time of ES treating edema due to lack of muscle control

A

one to two seconds on, then one to two seconds off

35
Q

_____ is the use of low amplitude DC to facilitate transdermal drug delivery

A

iontophoresis

36
Q

Iontophoresis is the use of a (low/high) amplitude DC to facilitate transdermal drug delivery

A

low

37
Q

Iontophoresis is the use of a low amplitude (AC/DC) to facilitate transdermal drug delivery

A

DC

38
Q

Iontophoresis is based on the principle that like charges (attract/repel)

A

repel

39
Q

Iontophoresis is most commonly used in PT to apply ______, which is an anti-inflammatory corticosteroid

A

dexamethasone

40
Q

When using iontophoresis, the drug being used penetrates a few _____.

A

millimeters

41
Q

What are the contraindications of using iotophoresis

A

The same contraindications for all ES

Should not be used after physical agents that alter skin permeability like head, ice, or ultrasound

42
Q

What is the usual dosage iontophoresis

A

40 mA -minute