Pressure Ulcers

Question 1

What is more susceptible to ischemia: muscle or skin?

Answer 1

Muscle

Question 2

In pediatric SCI patients, where is the most common location for pressure ulcers?

Answer 2

Occiput

Question 3

What physical modality has been shown to be the best for wound care?

Answer 3

E-stim

Question 4

What layer of skin does shearing forces remove?

Answer 4

The corpus striatum

Question 5

With minimal to mild exudative ulcers, what kind of dressing choices should you choose?

Answer 5

Hydrocolloid dressing, polyurethane dressing or a saline gauze dressing

Question 6

How often should patient be repositioned while sitting to prevent ulcers?

Answer 6

Every 20-30 minutes

Question 7

How much pressure is needed to develop a pressure ulcer?

Answer 7

> 70mmHg for ≥2 hours

Question 8

With moderate-heavy exudative pressure ulcers, what kind of dressing should be used?

Answer 8

Calcium alginate dressing

Question 9

Most common location of pressure ulcers in SCI within the first 2 years vs after 2 years

Answer 9

First 2 years = sacrum

After 2 years = ischial tuberosities

Question 10

2 most important risk factors for developing pressure ulcers

Answer 10

Persistent pressure and shear forces