Vascular Interventions Flashcards
(12 cards)
discuss rehab phases
1 - IP or acute setting
2 - early post d/c or intensive monitoring
3 - late recovery or training
4 - long term maintenance and lifestyle changes
exercise progression for sedentary indiv
c ssx:
- seek medical clearance before light
- light to mod and ask MD to progress to vigorous
s ssx:
- engage any intensity if ok other systems
- mod ex then progress gradually
exercise progression for active indiv
c ssx:
- seek medical clearance before mod
- light to mod and ask MD to progress to vigorous
s ssx:
- engage any intensity if ok other systems
- mod to vigorous ex then progress gradually
indications of buerger allen exercise
arterial insufficiency
intermitten claudication
early stage buerger’s or PAD
non-healing arterial ulcers
contraindications of buerger allen exercise
severe CV conditions - unstable angina and HF
DVT
open wounds and infectons
discuss buerger allen exercise
enhances collateral circulation and vascular tone
encourages arteriolar dilatation through gravitational shifts
promotes tissue oxygenation and tissue perfusion
3-6 cycles for 2-3x day
management for swelling and edema
pos and elevation
compression therapy
ROM, ankle pumps, DBE and endurance ex
MLD
soft tissue mob
skin and wound care
discuss ABI systolic index values post ex
no change or inc - normal
> 0.5 - mild disease
> 0,2 - moderate
< 0.2 - severe
changes in systolic ankle pressure
inc of 20 mmHg - normal
> 20 mmHg - abnormal
arterial disorder management
inc ex tolerance:
- graded walking or bike
- warm up and stretching
prevent contracture and atrophy:
- proper bed post
venous disorder management
prevent DVT and reduce swelling:
- graded amb c stockings
- leg elevation
- IPC
- massage
- skin care
- ankle pumps
promote mob
- ROM ankle pumps
- mild PRE
lymphatic disorder management
reduce edema and prevent
- stockings
- IPC
- MLD
- massage
- limb elevation
- ankle pumps
improve mob, strength and endurance
proper skin care
