Venous Leg Ulcers
Dressings
Micro-thrombi
Odds 'N Ends
Misc
100
Varicose veins, telangectasias, edema, skin changes such as dermatitis, fibrosis, atrophie blanche, ulcers
What is venous disease
100
Promotes moist environment, softens slough, liquefy eschar
What is a hydrogel
100
The formation of a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system
What is thrombosis?
100
Number of times hands should be washed for a dressing change
What is 3 times (before, after removing the old dressing, and at completion of dressing change)
100
A partial or full thickness wound in which a flap may or may not be present
What is a skin tear
200
Valvular reflux, obstruction and or calf muscle pump failure with associated retrograde venous blood flow
What is a venous hypertension?
200
Promotes moist environment, protective layer against friction/caustic agents
What is a Hydrocolloid
200
A rare but serious syndrome of vascular calcification, thrombosis and skin necrosis.The necrotic skin lesions (i.e. the dying or already dead skin areas) typically appear as violaceous (dark bluish purple) lesions and/or completely black leathery lesions. It is seen almost exclusively in patients with Stage 5 chronic kidney disease.
What is calciphylaxis?
200
Rotate a culture swab tip in a 1cm square area of clean granulation tissue for a period of 5 seconds, using gentle pressure to release tissue exudate.
What is the Levine technique?
200
Most accurate method to diagnose a chronic or pressure ulceration
What is biopsy
300
Numeric value of 5 risk factors: physical and mental coniditons, activity, mobility, and continence
What is a Norton Scale
300
Provides moist environemnt, occlusive with oxygen permeability
What is transparent film
300
Occur in patients with high blood pressure that is longstanding and often poorly controlled. There is a further association with diabetes mellitus and affects women more commonly than men. Most sufferers are in their 50s and 60s, with a reported age range of 41-86 years.
What are Martorell ulcers?
300
Patient assessment of 0-10
What is a pain scale
300
Are present in the majority of wound beds, produce extracellular polymeric substance (EPS), use microbe to microbe muecular communication, are resistant to oral antibiotics, recover from mechanical disruption within 24 hours.
What is a biofilm?
400
single component wraps, paste bandages (Unna boots), multi-layer/multi-component wraps, stockings, self-adjustable Velcro devices, intermittent pneumatic compression.
What are the types of compression therapy?
400
Absorbency, packing, cleaning and protecting
What is gauze
400
Recurrent painful ulcers and reticulated purpura. Early stage has thrombi in the lumen of small vessels in the mid and ulpper dermis. Late sgage you see derma sclerosis and scaring, dilated lymphatic and epiderma atrophy.
What is livedoid vasculopathy
400
Provides equal distribution of plantar pressure throughout the sole of the foot to assist in the healing of diabetic foot ulcers
What is off loading?
400
Increases rate of epithelailization, decreases amount of scar tissue, keeps surface moist wit wound fuid
What is a moist wound healing environment
500
Improved calf muscle pump function, improved dynamic calf muscle strength, improved ankle joint mobility, may help reduce pain, increased rates of venous leg ulcer healing
What are the effects of exercise on venous leg ulcers?
500
Sharp, mechanical, enzymatic, autolysis and biotherapy
What are the types of debridement
500
A rare condition that involves inflammation of the blood vessel walls in any part of the body. The cause of the inflammation is unknown and is likely related to autoimmune factors. The wall of the blood vessel may scar and thicken, or die (become necrotic) interrupting blood flow to the tissues it supplies causing the tissues to die.
What is necrotizing vasculitis?
500
Composed of connective and adipose tissue
What is the subcutaneous layer.
500
risk factors are: frequent or prolonged exposure to liquid stool, fragle skin, fever and diaphoresis, inappropriate use of absorptive products. Location is frequently in the inner thights, perineum, perianal area. May see erythema, superficial skin loss, fungal infection
What is incontinent associated dermatitis