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Cardio > Interventions for Vascular, Lymphatic, and Integumentary disorders > Flashcards

Interventions for Vascular, Lymphatic, and Integumentary disorders Flashcards

1
Q

A method wherein we support or return a wound bed to homeostasis

A

wound cleansing

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2
Q

disadvantage of wound cleansing

A

potential loss of endogenous fluids resulting in slowing down of cellular activity

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3
Q

why is whirlpool used for wound cleansing?

A

it softens adherent necrotic tissue

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4
Q

disadvantages of using whirlpool

A

risk for contamination
can initiate venous congestion and edema
skin breakdown
potentially prolong inflammation
delay wound healing

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5
Q

Removal of foreign material and dead or damaged tissue

A

debridement

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6
Q

purpose of debridement

A

prevents and control bacterial growth
encourage normal cellular activity
enhance tissue repair

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7
Q

removes all tissue both necrotic and living

A

non-selective debridement

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8
Q

examples of non-selective debridement

A

surgical
wet to dry dressing
whirlpool

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9
Q

removes necrotic tissue in a controlled manner.

A

selective debridement

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10
Q

example of selective debridement

A

sharp debridement
chemical or enzymatic debridement

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11
Q

causes greatest incidence of allergic reactions

A

Neosporin/neomycin sulfate

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12
Q

antibacterial primarily used for thermal injuries

A

silvadene/silver sulfadiazine

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13
Q

what does silvadene possibly inactivate

A

topical proteolytic enzymes

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14
Q

antibacterial used prior to skin graft

A

furacin/nitrofurazone

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15
Q

this antibacterial diffuses easily through eschar; primarily used for thermal injuries

A

Sulfamylon/Mafenide acetate

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16
Q

this antibacterial is currently effective against all species of staphylococcus

A

Bactroban/Mupirocin ointment

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17
Q

this antibacterial is currently effective against all species of staphylococcus and streptococcus

A

Gentamicin/Geramycin

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18
Q

this antibacterial liquifies thick eschar

A

Travase/Elase

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19
Q

Dressing used for dry wounds

A

hydrogel
transparent film
wet to wet

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20
Q

a wet gauze is called

A

an impregnated gauze

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21
Q

a dry gauze is called

A

a non-impregnated gauze

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22
Q

composition of hydrogel dressing

A

at least 90% water

23
Q

best dressing used for dry wounds

A

hydrogel

24
Q

dressing used for dry wound to facilitate moist environment

A

transparent film

25
Q

a dressing that contains 2 impregnated gauze

A

wet to wet

26
Q

dressing for wounds with minimal to moderate exudate

A

hydrocolloid dressing
wet to dry dressing

27
Q

a dressing typically consisting of an absorbent colloidal material combine with a film

A

hydrocolloid dressing

28
Q

a dressing that consists of one impregnated and one non-impregnated gauze

A

wet to dry dressing

29
Q

dressings for wounds with moderate to heavy exudate

A

calcium alginate
semi-permeable foam
collagen dressing
dry to dry

30
Q

absorbs 20 to 30 times their own weight, are gentle to apply and remove, and are biocompatible with wound bed

A

calcium alginate dressing

31
Q

a dressing consisting of 2 non-impregnated gauze

A

dry to dry

32
Q

modalities used for wound treatment

A

ultrasound
electrical stimulation
ultraviolet radiation
hyperbaric oxygen therapy

33
Q

heel position of the patient

A

protected and elevated off the surface of the bed

34
Q

parameter for head of bed elevation

A

< 30 degrees

35
Q

where should positioning with weight bearing be avoided?

A

greater trochanter

36
Q

what devices should not be used in seating solutions?

A

donut-shaped devices

37
Q

what should be used to separate bony prominences from the bed.

A

pillows and wedges

38
Q

pt education for wound management

A

teach pt how to inspect skin
teach pt how to do proper skin care
shoe check

39
Q

a compression bandage that provides high resting pressure and a low working pressure

A

long-stretch compression bandage

40
Q

a compression bandage that provides low resting pressure and a high working pressure

A

short-stretch compression bandage

41
Q

what type of bandage is more appropriate for edema and lymphedema?

A

compression bandage

42
Q

a type of compression machine used for edema and residual limb reduction; it promotes venous return

A

Intermittent Pneumatic Compression (ICP)

43
Q

parameter for UE ICP

A

50-60 mmHg

44
Q

parameter for LE ICP

A

60-70 mmHg

45
Q

pressure difference for ICP

A

20 mmHg

46
Q

progression for ICP

A

10 mmHg

47
Q

Absolute contraindications for ICP

A

arterial insufficiency
active cellulitis
DVT

48
Q

specialized therapy for lymphatic circulation.

A

Manual Lymphatic Drainage (MLD)

49
Q

what does MLD do?

A

enhances lymph capillary activity via gentle skin stretching

50
Q

benefits of MLD

A

increased lymphagion contractions and transport capacity
redirects lymph flow towards collateral vessels and uninvolved lymph regions

51
Q

parameters for MLD

A

3 sets; 5 strokes each set

52
Q

contraindications for MLD

A

edema related to cardiac or renal conditions

53
Q

indications of exercise therapy

A

arterial wounds
venous wounds
neuropathic wounds
lymphedema
edema

54
Q

contraindications of exercise therapy

A

history of DVT
acute local infection
CHF
Cor pulmonale
Acute dermatitis

Cardio (15 decks)

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