Arterial Ulcers Flashcards
LEAD Risk Factors: Smoking DM CAD Hx MI/CVA HTN Age/obesity/familial Hx CVD
1
Q
Outline key parameters to be included in vascular assessment
A
Hx: PMHx, pain, lesions, hygiene/ADLs Vascular Ax: colour temp hair growth skin cap refill pulses ABPI Edema Sensorimotor Function: #5.07 (LOPS)/#6.10 (insensate) Semmes-Weinstein monofilament Vibratory (LOPS, greater toe) Proprioceptive sense (greater toes position in relation to environment) Nails & Skin Footwear
2
Q
Given a pt scenario, recognize an arterial ulcer and make appropriate mgmt decisions
A
Atherosclerosis (LEAD)
Viscosity, coagulability (narrowed lumen, reduced blood flow)
3
Q
Outline appropriate mgmt to include issues re: debridement
A
if uninfected necrotic wound CONTRAINDICATED
No occlusive drsg (anaerobic environment, need to improve perfusion/oxygenation)
Aggressive debridement necrotic tissue/tx Ix for DM & topical therapy
4
Q
Calculate an ABPI and interpret the results
A
RT Brachial LT Brachial ------------- ------------- RT DP LT DP RT PT LT PT take highest score
5
Q
Identify medications that would benefit a patient with LEAD
A
Aspirin Cilostazol (Pletal) 100 mg reduces claudication Statins Clopidrogel (Plavix) Progressive Walking Program
