Wound Management 4 (tables)

Question 1

Arterial - risk factors

Answer 1

PVD
DM
Age

Question 2

Venous - risk factors

Answer 2

Hx thrombophlebitis
Venous valve insufficiency
Obestiy
Age

Question 3

Neuropathic - risk factors

Answer 3

DM
Leprosy
Neurologic pathologies

Question 4

Pressure - risk factors

Answer 4

Immobility
Dec nutritional status
Excessive moisture
Pressure

Question 5

Arterial - Anatomic location

Answer 5

Distal
Btw or on top of toes
Lateral malleolus

Question 6

Venous - Anatomic location

Answer 6

Medial lower leg

Immediately above malleolar area

Question 7

Neuropathic - Anatomic location

Answer 7

Plantar surface of foot

Areas of skeletal/joint deformity

Question 8

Pressure - Anatomic location

Answer 8

Pressure areas

Question 9

Arterial - size

Answer 9

Generally small

Question 10

Venous - size

Answer 10

Variable

Question 11

Neuropathic - size

Answer 11

Usually small to start and then increases

Question 12

Pressure - size

Answer 12

Variable

Inc risk of undermining

Question 13

Arterial - Shape

Answer 13

round

punched out

Question 14

Venous - shape

Answer 14

irregular

Question 15

Neuropathic - shape

Answer 15

generally round

Question 16

Pressure - shape

Answer 16

round but as size inc, tends to become irregular

Question 17

Arterial - margins

Answer 17

Smooth

Question 18

Venous - margins

Answer 18

irregular

Question 19

Neuropathic - margins

Answer 19

Smooth

Question 20

Pressure - margins

Answer 20

Varies

Question 21

Arterial - base

Answer 21

Pale, pink

Question 22

Venous - base

Answer 22

Red
Often granular looking
Exudate

Question 23

Neuropathic - base

Answer 23

Variable

Frequently has necrotic tissue

Question 24

Pressure - base

Answer 24

Variable

Question 25

Arterial - depth

Answer 25

Tend to be deeper than venous

Question 26

Venous - depth

Answer 26

Shallow

Question 27

Neuropathic - depth

Answer 27

Varies | Might have undermining or tunneling

Question 28

Pressure - depth

Answer 28

Varies | might have undermining or tunneling

Question 29

Arterial - peri wound area

Answer 29

Pal might be purpuric possible cellulitis

Question 30

Venous - peri wound area

Answer 30

Pigmented | Lipomermatosclerosis

Question 31

Neuropathic - peri wound area

Answer 31

Calluses might be present

Question 32

Pressure - peri wound area

Answer 32

Pressure effects might be seen

Question 33

Arterial - pain

Answer 33

Yes | Can be severe

Question 34

Venous - pain

Answer 34

Varies Often has very little pain Edema - so leg might be painful but not necessarily the wound itself

Question 35

Neuropathic - pain

Answer 35

None

Question 36

Pressure - pain

Answer 36

Varies | Often not the wound, but stage 3 and 4 for example will have a lot of pain in surrounding tissue

Question 37

Arterial - other characteristics

Answer 37

Thin, shiny skin Cyanosis Limited pulses Decreased temp

Question 38

Venous - other characteristics

Answer 38

Limited ROM at ankle and often knee

Question 39

Neuropathic - other characteristics

Answer 39

Absent sensation Loss of subQ, fat Foot deformities Warm foot

Question 40

Pressure - other characteristics

Answer 40

Presence of risk factors