Examination of Patient at Risk for Amputation or with Amputation Flashcards
When performing the Pallor with Elevation, what does pallor within 30-45 seconds indicate?
Moderate arterial insufficiency
When performing the Pallor with Elevation, what does pallor within 45-60 seconds indicate?
Mild arterial insufficiency
When performing the Pallor with Elevation, what does pallor greater than 1 minute indicate?
WNL
When performing the Rubor of dependency what does it indicate if the feet turn bright red?
Ischemia
When performing Rubor of dependency when does blood flow return if a patient has normal blood flow?
15-20 second
When performing Rubor of dependency what indicates severe arterial insuffiency?
Pallor with elevation (in less than 25 seconds) followed by bright red appearance with dependency
When performing Venous Filling time what time frame is normal?
Refill in 5-15 seconds
When performing Venous Filling time what time frame indicates arterial insufficiency?
> 20 seconds for refill
When performing Venous Filling time what time frame indicates venous insufficiency?
Immediate refill
What should occur when testing capillary refill if there is no issue?
- Area should briefly blanche
- White & refill immediately
What is the pitting edema scale?
- 0 = non pitting
- 1+ = barely perceptible
- 2+ = skin rebounds <15 seconds
- 3+ = skin rebounds 15-30 seconds
- 4+ = skin rebounds >30 seconds
What is the ankle brachial index a ratio of?
systolic ankle / systolic brachium
What is the scale for the ankle brachial index?
- Normal: 1-1.29
- Borderline: .91-.99
- Mild PAD: .71-.90
- Medium Severe PAD: .41-.7
- Severe PAD: < .4
What is the ideal limb shape?
cylindrical
Describe the ideal residual limb
- Durable
- Well vascularized
- Tolerates pressure in weight bearing areas
- Tolerates friction in areas covered by the prosthetic socket
