Module 9- Wound Types (neuropathic, arterial, venous)

Question 1

wound type that is present for at least 6 weeks

Answer 1

chronic wounds

Question 2

These are some characteristic of what type of wound
-necrotic tissue
-bioburben
-chronic inflammatory
-impaired hemodynamics
-senescent fibroblasts and keratinocyctes
-chronic wound fluid with growth inhibiting proteases
-overgrowth of epithelium with lack of underlying connective tissue

Answer 2

chronic wounds

Question 3

What are the 4 categorize of chronic wounds

Answer 3

1. arterial
2. venous insufficiency
3. neuropathic/diabetic
4. pressure

Question 4

name the type of wound category
-ischemia
-micro or macro vascular disease
-smoking

Answer 4

arterial

Question 5

name the type of wound category
-deep vein thrombosis
-recent surgery, ankle fusion
-prolonged standing, pregnancy
-congestive heart failure

Answer 5

venous insufficiency

Question 6

name the type of wound category
-diabetes
-peripheral vascular disease
-hansen’s disease

Answer 6

neuropathic/diabetic

Question 7

-pressure/shear
-immobility, moisture
-decreased sensation
-poor nutrition

Answer 7

pressure

Question 8

_____ wounds
-occur on the foot usually plantar surface of toes
-causes by mechanical forces or minor trauma

Answer 8

neuropathic wounds

Question 9

Pt with ____ wounds typically have sensory, autonomic and motor neuropathies

Answer 9

neuropathic

Question 10

____ wounds are caused by ischemia

Answer 10

arterial

Question 11

___ wounds typically occur in the peripheral extremities
caused by macro- or microvascular disease

Answer 11

arterial

Question 12

_____: obstruction of the larger named arteries by PAOD, embolus, thrombus, trauma

_____: disease of the small unnamed arterioles and capillaries usually associated with diabetes or small emboli

Answer 12

Arterial wounds
macro:
Micro:

Question 13

Neuropathic wounds pain typically relieved with ambulation—T or F

Answer 13

true

Question 14

Both neuropathic and arterial wounds occur mainly on the foot and toes T or F

Answer 14

true

Question 15

How does the appearance of the foot differ in neuropathic and arterial injuries

Answer 15

neuropathic- architectural changes in the foot
arterial- normal looking foot

Question 16

appearance of wounds:
pink, moist callus formation, plantar surface, skin usually warm

Answer 16

neuropathic

Question 17

appearance of wound:
pale dry well defined margins, limb color pale, skin cool to touch

Answer 17

arterial

Question 18

Which has a normal ABI neuropathic or arterial injuries?

Answer 18

neuropathic

Question 19

what are the grades of the diabetic foot classification

Answer 19

grade 0- intact skin
grade 1- superficial ulcer
grade 2- deep ulcer
grade 3- ulcer with bone involvement
grade 4- forefoot gangrene
grade 5- full-foot gangrene

Question 20

what are the 3 critical phases of peripheral vascular disease?

Answer 20

1. collateral circulation insufficient for metabolic needs
2. claudication- pain with activity
3. rest pain- requires revascularization surgery

Question 21

in arterial wounds: will ABI and pulses be diminished?

Answer 21

yes

Question 22

what is the normal time during a capillary refill exam

Answer 22

less than 3 sec

Question 23

which are more common venous or arterial wounds?

Answer 23

venous

Question 24

What are 3 causes of chronic venous insufficiency?

Answer 24

1. reflux as a result of incompetent valves in the perforator, superficial, or deep veins
2. obstruction- chronic deep vein thrombosis
3. lack of venous pump activation during the gait cycle

Question 25

Chronic venous insufficiency can result in venous _____-tension and excessive moisture in the interstitial tissue

Answer 25

hypertension

Question 26

chronic venous insufficiency prevents adequate ____ and ____ from reaching the skin

Answer 26

oxygen and nutrients

Question 27

what are some risk factors for chronic venous insufficiency?

Answer 27

Hx of DVT Hx of hip/knee/calf surgery ankle hypo-mobility employment involving prolonged standing morbid obesity pregnancy heart failure

Question 28

Heavy, aching feelings in legs telegentsia or reticular veins varicose veins edema without ulceration skin changes without ulceration skin changes with ulceration is the progression of ____ disease

Answer 28

venous

Question 29

where are venous wounds located

Answer 29

in the gaiter area

Question 30

a wound has irregular wound borders, full-thickness, minimal exudate, cool and pale LE presentation isnt clean for one or the other what is the gold standard test to determine?

Answer 30

ABI

Question 31

What is the ABI range for a mixed ulcer

Answer 31

0.6-0.8

Question 32

If an ABI is <0.6 what is the first mode of treatment

Answer 32

revascularize, prevent occurrence no compression for mixed ulcer

Question 33

mixed wounds account for ___% of LE ulcers origin is primarily due to chronic venous insufficiency with poor healing with co-exisiting arterial insufficiency

Answer 33

10

Question 34

No peripheral arterial obstruction is found from a ABI and ultrasound examination what do you suspect

Answer 34

venous injury/wound