Causes
This types of wounds caused commonly by valvular damage or insufficiency, multiple pregnancies, obesity, and varicose veins.
What are Venous Ulcers?
These type of wounds have loss of epidermis and/or partial dermal loss.
What are partial thickness wounds?
These wound are usually wet (moderate to large amounts of exudate), usually irregular, ulcer bed may look normal, dark red, or may have thin layer slough.
What are the characteristics of venous ulcers?
Main priority for treatment for these ulcers is the improve perfusion! Second priority is to prevent further injury.
What are the priorities for management/treatment of arterial ulcers?
Primary wound dressing for a deep full thickness wound
What is a moist to dry dressing?
Plaque or atherosclerosis is the main cause of this type of wound.
What are Arterial Ulcers?
This type of wounds extend to the subcutaneous fat & may have slough present
What are Full thickness wounds?
Aching pain is relieved with elevation is common in_________disease
Lower Extremity Venous Disease (LEVD)
These are considered to be the gold standards for healing a venous ulcer and helping to prevent recurrence (treatment)
What is compression therapy and elevation?
Primary dressing for a shallow full thickness wound.
What is non-adherant foam/dressing?
This is a non-invasive method that measures the presence & degree of Lower Extremity Arterial Disease (LEAD)
What is the ankle brachial index (ABI)?
This wound is associated with moisture.
What is MACERATION?
These ulcers are located commonly on distal foot/toes, tips of toes, phalangeal heads, and lateral malleolus.
Where are arterial ulcers?
True/false
"Topical antiseptics, such as alcohol and iodine-based products are not recommended for venous ulcers as they can dry the wound bed and delay healing"
True
Goal is to promote wound healing, edema management, control exudate with an absorptive dressing, protect skin, reduce bacterial burden.
What are the goals in the management of venous ulcers?
True/False
TED stockings (anti-embolic hose) provide sub-therapeutic compression (<15mmHg & are not intended for treatment LEVD)
TRUE
This term describes pain with activity that is relieved with rest.
What is intermittent claudication?
Characteristic/location that differentiates a pressure injure to a non-pressure injury?
What is bony prominence?
Moisture barriers, Zinc Oxide, external catheters, toiling regularly are used to help treating these type on wounds
What is MASD or IAD?
This is type of compression layer that is effective in ambulatory/moving patient.
Unna Boots
Iron deposit or build up from the breaking of hemoglobin causing browning appearance in venous ulcer.
What is Hemosiderin?
In this type of treatment, patients are placed in pressurized chamber & breathes 100% oxygen under pressure. This Increases oxygen dissolved in plasma. Enhances infection control & collagen synthesis
What is Hyperbaric Oxygen Therapy?
Faint halo of erythema around the wound is an indication of infection in _____ ulcers.
Arterial ulcers
This type of compression wrap is least effective in the treatment of Venous Ulcers
What are ACE wraps?
True/false
"It is recommended to wrap around the toes when applying dressing for the arterial ulcer instead of covering the toes from the top."
FALSE