S and O of Vascular Rehab Flashcards
(24 cards)
claudication symptom rating scale
0 - no discomfort
1 - onset of discomfort
2 - mild
3 - moderate
4 - mod severe
5 - maximal
ACSM claudication pain scale
0 - no discomfort
1 - min
2 - mild
3 - intense
4 - unbearable
ABI scoring
more than or equal to 1.4 - need toe-brachial
1-1.39 - normal
0.91-0.99 - borderline
0.81-0.89 - mild
0.5-0.8 - mod
belwo or euqal to 0.5. - severe
pulse strength grading
0 - absent
1+ - thready and weak
2+ - normal
3+ - inc strength
4+ - bounding
pulse rategrading
0 - absent
1 - diminishes
2 - normal
0 - absent
1 - marked diminish
2 - mod dminish
3 - slight diminish
4 - normal
guidelines pulse assessment
full 60 secs
strength, rate, rhythm, equality
top to bottom - 10 sites
discuss apical-radial pulse
apical > radial
check for difference dapat same
compare arterial and venous ulcer in terms of cause
arterial: poor arterial BF
venous: venous HTN or valve insuff
compare arterial and venous ulcer in terms of location
arterial: toes, feet and lat mal
venous: medial mal and lower leg
compare arterial and venous ulcer in terms of apperance
arterial: deep c well defined edges
venous: shallow and irregular
compare arterial and venous ulcer in terms of wound bed
arterial: pale or necrotic c dry min granulation
venous: red base c yellow fibrin and exudate
compare arterial and venous ulcer in terms of pain
arterial: severe that is worst c rest or elevation
venous: mild to mod and relieved by elevation
compare arterial and venous ulcer in terms of edema
arterial: min or absent
venous: common or severe
compare arterial and venous ulcer in terms of skin surrounding
arterial: shiny, hairless and cool/pale
venous: edematous, warm and brownish
compare arterial and venous ulcer in terms of pulses
arterial: dec or absent
venous: normal
compare arterial and venous ulcer in terms of cap refill
arterial: delayed > 2 seconds
venous: normal
compare arterial and venous ulcer in terms of healing
arterial: slow unless BF is restored
venous: improved c compression and elevation
compare arterial and venous ulcer in terms of management focus
arterial: improve BF
venous: compression therapy
diabetic neuropathic ulcer
nerve damage from excessive pressure - feet
decubitus ulcer
prolonged pressure over bony areas
infection ulcer
from bacteria, fungal or viral
may have pus
arterial special tests
elevation pallor test
rubor of dependency test
capillary refill test
venous special tests
venous filling time
trendelenburg test
homan’s test
intermittent claudication special test
bicycle test of van geldren
stoop test