Help
Options
Question
what are the 3 primary causative factors for Lower extremity neuropathic disease
click to flip
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't know
Question
xerosis is a sign of what
Remaining cards (24)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
neuropathic ulcers
WOCN program
| Question | Answer |
|---|---|
| what are the 3 primary causative factors for Lower extremity neuropathic disease | Systemic disease (diabetes) trauma, infectious or autoimmune diseases, Vit. Deficiency, alcoholism |
| xerosis is a sign of what | |
| what is the test for sensory neuropathy | Semester-Weinstein 10g monofilament 9 sites in random order for 1-2 seconds |
| common diabetic foot deformity is called | Charcot |
| name 2 classification systems for diabetic foot ulcers | Wagner (0=at risk, thru 5=gangrene) and University of Texas (grade 0-3, stage A-D) |
| identify the characteristics of a diabetic foot ulcer | edges well defined, round, periwound callus, dry or min exudate, pale, pink or necrotic base |
| what is a method to identify areas of increased pressure and unequal weight distribution of patients feet | Pressure mapping |
| debridement of callus is best accomplished by ___ | Paring or sharp debridement |
| describe the rational for off loading | redistribute pressure exposure, tpressure and shear prevent healing and contribute to deterioration, maintain soft tissue viability and support bony architecture |
| what does "Probe to the bone" indicate | Osteomyelitis |
| What is the most common location for LEND | Plantar surface of foot |
| What are common locations for LEND (other than most common) | Metatarsal heads, dorsal and distal aspects of toes, inter-digital areas, pressure points, bony prominence |
| Describe common wound findings | Pale, pink or necrotic base, sm to mod exudate |
| Describe surrounding skin characteristics | Callus, may have maceration, |
| Complications seen with LEND | |
| Describe pain associated with LEND | Tingling, electric, pins and needles, dysthesia, parathesia |
| Noninvasive tests for LEND | monofilament, vibratory and positional |
| Assessment of LOPS | Semester-Weinstein monofilament, vibratory test, deep tendon and patellar reflexes. |
| Measures to prevent trauma in LEND | Proper fitting footwear, offloading wounds, pressure redistribution, keep feet protected from chemical,thermal, mechanical injuries no bare feet, no toe pads, socks w/shoes, no hot soaks, heating pad |
| Goals of topical therapy in LEND | treat/monitor for infection, maintain physiologic wound bed, |
| Topical therapy considerations/options with LEND | Topical abx based on culture results all night with systemic abx |
| Adjunctive therapy options with LEND | HBOT, NPWT, |
| Types of neuropathy | Sensory, motor, autonomic |
| management of charcot | non wgt bearing during acute phase, lifelong protection and monitoring (for ulceration-pt at higher risk) |
| neuropathic pain management | dysthesia=capsaicin, gabapentin,pregabalin, ssri's paresthesia=tricyclics, opoids both=analgesics=topical, systemic |
Created by:
Beth Perry
Popular Nursing sets