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| How long should cpmoression garments be worn? |
ALL DAY/EVERY DAY
GOOD FOR 6 MONTHS |
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MichaelMorano Mon, 29 Mar 2010 02:00:23 GMT |
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True/False
Compression should be greatest distally and gradually decreased proximally? |
TRUE |
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MichaelMorano Mon, 29 Mar 2010 01:59:12 GMT |
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| When can intermittent pressure be applied? |
INTERMITTENT PRESSURE IS CONTRAINDICATED AFTER TRAUMA |
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MichaelMorano Mon, 29 Mar 2010 01:59:12 GMT |
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| When can static compression be applied? |
IMMEDIATELY AFTER TRAUMA |
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MichaelMorano Mon, 29 Mar 2010 01:59:12 GMT |
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| The use of compression should be delayed until the patients serum protein level is? |
ABOVE 2 gm/dl |
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MichaelMorano Mon, 29 Mar 2010 01:59:12 GMT |
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| Although peripheral edema is a common symptom of severe hypoproteinemia, what level should the serum protein not drop below? |
2 gm/dl |
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MichaelMorano Mon, 29 Mar 2010 01:51:21 GMT |
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| Compression should not be applied if the ABI is? |
LESS THAN 80% |
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MichaelMorano Mon, 29 Mar 2010 01:51:21 GMT |
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| Areas of tissue breakdown and necrosis that occur in areas of impaired venous circulation? |
VENOUS STASIS ULCERS |
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MichaelMorano Mon, 29 Mar 2010 01:51:21 GMT |
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| Why does the risk of DVT increase when local circulation is reduced? |
BECAUSE BLOOD FLOWING SLOWLY CAN COAGULATE AND FORM A THROMBUS |
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MichaelMorano Mon, 29 Mar 2010 01:51:21 GMT |
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| Deep venous thrombosis? |
A BLOOD CLOT IN THE DEEP VEINS |
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MichaelMorano Mon, 29 Mar 2010 01:05:58 GMT |
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| How does compression control edema? |
BY INCREASING EXTRAVASCULAR HYDROSTATIC PRESSURE AND PROMOTING CIRCULATION |
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MichaelMorano Mon, 29 Mar 2010 01:05:58 GMT |
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| What is an example of primary lymphedema? |
MILROY'S DISEASE |
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MichaelMorano Mon, 29 Mar 2010 01:05:58 GMT |
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| What is primary lymphedema caused by? |
CONGENITAL DISORDERS OF THE LYMPHATIC VESSELS. |
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MichaelMorano Mon, 29 Mar 2010 01:05:58 GMT |
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True/False
Lymphedema is mostly PRIMARY in nature? |
FALSE
SECONDARY |
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MichaelMorano Mon, 29 Mar 2010 00:47:49 GMT |
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| Once the lymphatic fluid reenters the circulatory system, what is it processed through? |
THE KIDNEYS |
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MichaelMorano Mon, 29 Mar 2010 00:47:49 GMT |
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| Besides the lymph vessels of the right arm, where do lymph vessels of the other areas of the body empty into? |
TERMINATE INTO THE THORACIC DUCT AND EMPTY INTO THE LEFT SUBCLAVIAN VEIN |
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MichaelMorano Mon, 29 Mar 2010 00:47:49 GMT |
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| Where do the lymph vessels of the right arm terminate into? |
RIGHT LYMPHATIC DUCT AND EMPTY INTO THE RIGHT SUBCLAVIAN VEIN |
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MichaelMorano Mon, 29 Mar 2010 00:47:49 GMT |
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| Where are the lymph nodes found? |
-AXILLARY
-THROAT
-GROIN
-PARAAORTIC AREAS |
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MichaelMorano Mon, 29 Mar 2010 00:31:36 GMT |
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| Inflammation of the veins is known as? |
PHLEBITIS |
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MichaelMorano Mon, 29 Mar 2010 00:31:36 GMT |
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| What is the most common cause of venous insufficiency? |
INFLAMMATION OF THE VEINS |
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MichaelMorano Mon, 29 Mar 2010 00:31:36 GMT |
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| What factors result in peripheral edema? |
-LACK OF PHYSICAL ACTIVITY
-VENOUS OBSTRUCTION
-VALVE DYSFUNCTION |
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MichaelMorano Mon, 29 Mar 2010 00:31:36 GMT |
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| What is the primary factor that ensures lymph moves proximally toward the heart? |
MUSLCE CONTRACTION |
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MichaelMorano Mon, 29 Mar 2010 00:26:44 GMT |
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| What are some adverse effects of compression? |
-IF EDEMA IS DUE TO ORGAN FAILURE OR CIRCULATORY OBSTRUCTION, COMPRESSION MAY AGGRAVATE THE CONDITION
-IF TOO MUCH COMPRESSION IS USED, IT MAY ACT AS A TOURNIQUET |
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MichaelMorano Mon, 29 Mar 2010 00:26:44 GMT |
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| What are the precautions for the use of intermittent or sequential compression pumps? |
-IMPAIRED SENSATION
-UNCONTROLLED HYPERTENSION
-CANCER
-STROKE OR SIGNIFICANT CASCULAR INSUFFICIENCY |
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MichaelMorano Mon, 29 Mar 2010 00:26:44 GMT |
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| What are the contraindications for the use of intermittent or sequential compression pumps? |
-HEART FAILURE/PULMONARY EDEMA
-RECENT OR ACUTE DVT
-OBSTRUCTED LYMPHATIC OR VENOUR RETURN
-SEVERE PERIPHERAL ARTERIAL DISEASE AND OR ULCER DUE TO ARTERIAL INSUFFICIENCY (ABI < 80%)
-ACUTE LOCAL SKIN INFECTION
-SIGNIFICANT HYPOPROTEINEMIA
-ACUTE FRACTURE OR OTHER TRAUMA
-ARTERIAL REVASCULARIZATION |
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MichaelMorano Mon, 29 Mar 2010 00:26:44 GMT |
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| Produced by active muscles pushing against an inelastic bandage moving and contracting the muscles? |
WORKING PRESSURE |
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MichaelMorano Sun, 28 Mar 2010 23:56:24 GMT |
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| Exerted by elastic when it is put on a stretch? |
RESTING PRESSURE |
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MichaelMorano Sun, 28 Mar 2010 23:56:24 GMT |
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| What occurs as a result of venous stasis ulcers? |
-LACK OF MUSCLE CONTRACTION
-VENOUS INSUFFICIENCY
-MECHANICAL OBSTRUCTION
-POOR TISSUE OXYGENATION AND NUTRITION
-REDUCED LOCAL IMMUNOLOGICAL RESPONSES
-AN ACCUMULATION OF WASTE PRODUCTS
ALL OF THE ABOVE LEAD TO CELL DEATH AND TISSUE NECROSIS |
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MichaelMorano Sun, 28 Mar 2010 23:56:24 GMT |
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| What are the adverse effects of edema? |
-RESTRICTIONS OF ROM
-LIMITATIONS IN FUNCTION
-PAIN
-HIGHER RATES OF INFECTION
-CELLULITIS, ULCERATION AND AMPUTATIONS |
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MichaelMorano Sun, 28 Mar 2010 23:56:24 GMT |
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| What is hydrostatic pressure controlled by? |
CONTROLLED BY GRAVITY AND BLOOD PRESSURE |
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MichaelMorano Sun, 28 Mar 2010 23:39:05 GMT |
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| How does compression reduce edema? |
IT INCREASES EXTRAVASCULAR HYDROSTATIC PRESSURE AND INCREASES CIRCULATION |
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MichaelMorano Sun, 28 Mar 2010 23:39:05 GMT |
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| How much compression is used for edema control? |
30-40 mm Hg |
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MichaelMorano Sun, 28 Mar 2010 23:39:05 GMT |
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| How much compression is used for scar tissue control? |
20-30 mm Hg |
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MichaelMorano Sun, 28 Mar 2010 23:39:05 GMT |
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| What are the clinical indications of compression? |
-EDEMA (DUE TO VENOUS INSUFFICIENCY) NOT ARTERIAL
-LYMPHEDEMA
-DVT PREVENTION
-VENOUS STASIS ULCERS
-RESIDUAL LIMB SHAPING AFTER AN AMPUTATION
-CONTROL OF HYPERTROPHIC SCARRING |
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MichaelMorano Sun, 28 Mar 2010 18:52:02 GMT |
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| Arterial wounds are normally found where? |
BOTTOM OF THE FOOT |
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MichaelMorano Sun, 28 Mar 2010 18:49:44 GMT |
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| What is a good landmark to look for a venous stasis ulcer? |
ON THE MEDIAL SIDE OF THE MEDIAL MALEOLOUS |
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MichaelMorano Sun, 28 Mar 2010 18:49:44 GMT |
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| What are the recommended paramaters for the application of intermittent compression if the problem is Edema, DVT prevention, Venous stasis ulcer? |
INFLATION/DEFLATION TIME (80-100/25-35) 3:1 RATIO
INFLATTION PRESSURE (mmHg) 30-60 UE
40-80 LE |
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MichaelMorano Sun, 28 Mar 2010 18:49:44 GMT |
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| Intermittent compression produces what kind of effect? |
MILKING |
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MichaelMorano Sun, 28 Mar 2010 18:33:37 GMT |
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| What can cause lymphedema? |
-LOW ALBUMIN (PROTEIN)
-LYMPHATIC OBSTRUCTION
-ABNORMAL VESSEL DISTRIBUTION
-REDUCED ACTIVITY |
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MichaelMorano Sun, 28 Mar 2010 18:33:37 GMT |
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True/False
The osmotic pressure that keeps fluid inside the veins normally exceeds that of hydrostatic pressure which pushes fluid out of the veins? |
FALSE
HYDROSTATIC PRESSURE NORMALLY EXCEEDS THE OSMOTIC PRESSURE |
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MichaelMorano Sun, 28 Mar 2010 18:33:37 GMT |
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| What results in peripheral edema? |
-LACK OF PHYSICAL ACTIVITY
-VALVE DYSFUNCTION
-VENOUS OBSTRUCTION CAN RESULT IN PERIPHERAL EDEMA |
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MichaelMorano Sun, 28 Mar 2010 18:33:37 GMT |
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| What is the hydrostatic pressure and osmotic pressure like an a healthy person? |
THEY ARE ALMOST BALANCED |
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MichaelMorano Sun, 28 Mar 2010 17:32:32 GMT |
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| What determines osmotic pressure? |
DETERMINDED BY THE CONCENTRATION OF PROTEINS INSIDE AND OUTSIDE THE VESSELS |
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MichaelMorano Sun, 28 Mar 2010 17:32:32 GMT |
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| What is hydrostatic pressure determinded by? |
BY BP AND THE EFFECTS OF GRAVITY |
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MichaelMorano Sun, 28 Mar 2010 17:32:32 GMT |
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| What are the causes of edema? |
CAUSED BY INCREASED FLUID IN THE INTERSTITIAL SPACES OF THE BODY. |
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MichaelMorano Sun, 28 Mar 2010 17:32:32 GMT |
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