Multi-Disciplinary - You're welcome to everyone.....

Question 1

what kind of wound(s) can saline be used on?

Answer 1

all wounds

Question 2

what is betadine used for?

Answer 2

infection and exudate control

Question 3

what is hydrogen peroxide used for?

Answer 3

infection, inflammatory phase, first 48 hours

Question 4

what is dakin’s solution used for?

Answer 4

infection and odor

Question 5

what is acetic acid used for?

Answer 5

pseudomonous infections

Question 6

how much pressure is a ulna boot?

Answer 6

30-40 mmHg

Question 7

what is a ulna boot typically used for?

Answer 7

venous edema

Question 8

how much pressure is a multilayer compression?

Answer 8

30-40 mmHg

Question 9

what is multi-layer compression used for?

Answer 9

venous edema

Question 10

how much pressure is light compression

Answer 10

10-20 mmHg

Question 11

what is manual lymphatic drainage therapy used for?

Answer 11

lymphedema… duhhhhhhhhhhhhh

Question 12

edema can reduce oxygen to the wound by ___%

Answer 12

40

Question 13

should you use compression on arterial ulcers?

Answer 13

NO… venous = edema

Question 14

what is contamination?

Answer 14

all wounds have non-replicating bacteria and does not impede healing

Question 15

what is colonization

Answer 15

increased number of bacteria replicating in wound without house reaction - does not impede healing

Question 16

what is critical colonization?

Answer 16

bacteria multiplying in wound with local signs… causing delayed healing

Question 17

what is infection?

Answer 17

causes systemic response

Question 18

how can you obtain pressure re-distribution? (6)

Answer 18

positioning, support surfaces, shoe inserts, casting, PT, pressure mapping

Question 19

what is the definition of pressure re-distribution?

Answer 19

move pressure from high risk areas to lower risk areas

Question 20

Tissue Load Management: Foam

Answer 20

first line of defense

Question 21

what is a disadvantage of foam?

Answer 21

moisture retention and heat retention

Question 22

when should you not use foam for pressure redistribution?

Answer 22

obese patients and incontinent patients

Question 23

Tissue Load Management: fluid-filled surfaces

Answer 23

air, gel, water; high degree of immersion

Question 24

what could possibly be a disadvantage?

Answer 24

retain heat… dependent on type of fluid used

Question 25

Tissue Load Management: low air loss systems

Answer 25

connected, air filled cushions with air pump; adjusts to patient's body weight distribution

Question 26

For low air loss systems, immersion is ___________

Answer 26

moderate.

Question 27

Tissue Load Management: air-fluidization

Answer 27

fluidotherapy in a bed.... (warm air)

Question 28

what is the gold standard for pressure redistribution?

Answer 28

air-fluidization

Question 29

Air fluidization has a _______ level of immersion

Answer 29

high

Question 30

what should you watch for with air fluidization

Answer 30

dehydration

Question 31

Tissue Load Management: alternating pressure

Answer 31

changes the bed-to-body contact points.... no immersion

Question 32

how often should you turn a patient?

Answer 32

at least every 2 hours... dependent on co=-morbidities

Question 33

what is the gold standard for heel load management?

Answer 33

float the heel - multi podus boot

Question 34

what are 4 things that are related to PT and pressure redistribution?

Answer 34

AD, WBing status, Mobility training (ambulation) and transfer training

Question 35

what is pressure mapping?

Answer 35

system used to identify area of increased pressure or WBing... sit on a map in the w/c

Question 36

what are the advantages of pressure mapping?

Answer 36

specific to patient, identifies high risk for pressure ulcers, specific areas of breakdown, educates family/pt on importance of pressure relief

Question 37

who will benefit from pressure mapping?

Answer 37

patient with hx of skin breakdown/pressure ulcers, and anyone with current pressure ulcers

Question 38

what are different pressure mapping position?

Answer 38

posture, leaning, push-ups, gluteal sets, reclining and tilting in w/c, and equipment adjustments

Question 39

what are considered appropriate referrals for pressure mapping?

Answer 39

pt who have risk factors for skin breakdown/pressure ulcers, pt who qualify for new equipment; and pts who would benefit from additional education on pressure redistribution

Question 40

what are treatment options for pressure re-distribution?

Answer 40

cushions, w/c, lumbar rolls, adjustments made to w/c, and MANY MORE... call your MD or DME to know the more options.... tyler, i assign this to you

Question 41

what is the risk assessment tool used for pressure ulcers?

Answer 41

braden scale

Question 42

what is the score for mild risk

Answer 42

15-16

Question 43

what is the score for moderate risk?

Answer 43

12-14

Question 44

what is the score for high risk

Answer 44

<12

Question 45

what 2 things should PT educate patients on?

Answer 45

skin care and foot care

Question 46

What are some techniques for skin care?

Answer 46

bathe, moisturize, don't rub bony prominences (haha), stop smoking, positioning every 2 hours, clean incontinence immediately

Question 47

what are some techniques for foot care?

Answer 47

same as the last test

Question 48

what are the first signs of skin breakdown that you should educate your patient?

Answer 48

redness, irritation, pain, change in color/temp, callus and blisters, weeping, and bruising

Question 49

what are "vascular needs"

Answer 49

angioplasty, venous repair, exercise/ambulation, medications, stop smoking

Question 50

pulse palpitation is not accurate due to false positives and negative in what type of disease?

Answer 50

microvascular disease

Question 51

what are components of podiatry?

Answer 51

foot and nail care, fungal infections, debridement, off loading and surgical intervention

Question 52

what are the surgical options?

Answer 52

vascular, plastic/reconstructive surgery, orthopedic, podiatric, and general

Question 53

medical options

Answer 53

you probably won't need to know the list but if you want to look, it on page 7

Question 54

what is pallative care?

Answer 54

focus shifts to wound management and protection from infection, odor and pain control

Question 55

what are some "answers" to pain management issues?

Answer 55

deep breathing, breaks, distraction, music, empathy