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Flashcards in Intermittent Compression Devices Deck (9)
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1

Indications of JOBST

Edema

2

Contraindications of JOBST

Thrombophlebitis (could dislodge clot)

Cellulitis (could spread infection)

Severe congestive Heart Failure (could overwhelm heart with fluid volume)

 

3

Treatment Time

10 mins to 4 hrs 1-2 X a day

4

Duty Cycle

45sec on /15 sec off 3 min on / 1 min off.

Set to comfort of patient and prevent numbness

5

Pressure

Should never exceed 90 - 120 mmHg (systolic Pressure)

Arm : approx 50 mm Hg

Leg : approx 60-70 mmHg

6

Types of Swelling

Joint swelling - Caused by presence of blood and joint fluid in a joint at a result of tearing of tissues and blood vessels or synovial irritation. Has appearance and feel of a water balloon.

Interstitial Tissue Swelling - Caused by increase of osmotic pressure in tissues which attracts water and creates swelling. Has the appearance of "silly putty" when involved tissue is pressed.

Cell Swelling - Cells near death and unable to control the cell membrane can attract water and swell

7

Factors which can cause Edema

High capillary pressure (high blood pressure or blood clots)

Low blood plasma (starvation, alcoholism, hypothyroidism)

Lymphatic blockage (post mastectomy, elephantitis)

Increased capillary porosity relweases electrolytes and protiens (burns, allergic reaction)

Increased tissue osmotic pressure (cell destruction with protein release secondary to injury)

8

Lymphedema

Edema caused by obstruction of lymph channels.

Primary - A congenital blockage of lymph channels.

Secondary

Inflammation - swelling

Trauma - swelling cuts off flow

Neoplasm - takes up space to reduce flow

Irradiation - radiation causes sweeling and cuts off flow.

9

Treatment of Edema

Elevation

Muscular Contraction

Compression (not only moves fluids out of the area, but also distributes it to a wider area of lymph channels for their absorbtion and drainage.)

Elastic Compression

Massage

Intermittent Compression.