Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
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
lymphedema
WOCN program
| Question | Answer |
|---|---|
| true or false: chronic lymphedema is not reversible and requires a lifetime management | true |
| what are the most common causes of secondary lymphedem | obstruction of lymphatic drainage system- cancer therapy (RT, node dissection) trauma, venous reconstruction, obesity, infection, malignancy |
| explain the difference between lymphedema and lipedema | lymphedema-unilateral, lipedema bilateral |
| what is the Stemmer sign? | inablilty to pinch skin into a fold on dorsal aspect below second metatarsal |
| identify areas for effective management of lymphededa | manual lymphatic drainage(therapeutic massage is what book says, not current guidelines) skin care compression |
| effective compression bandagin requires ___mmHg pressure | 40-60 |
| what is the gold standard for lymphedema treatment | complete decongestive therapy (CDT) |
| list components of CDT | Manual lymphatic drainage (MLD) compression, therapeutic exercises, skin care, pt education |
| what are absolute contraindications to CDT | thrombosis, uncompensated heart failure |
| what are "use CDT with caution" conditions | arterial insufficiency, HTN, asthma, decreased sensation (DM, paralysis) |
| adjuvant therapies to CDT | pneumatic compression, compression strapping devices, kinesis tape, low level laser therapy |
| what are the features of lipedema | bilateral, spares hands or feet, doesn't respond to elevation, non pitting, may have hyperkeratinosis or papillomatosis |
| risk factors for lymphedema | longstanding CVI, cancer treatment (RT, surgery) obesity, infection, severe trauma, circulatory reconstruction, burns |
| what is primary lymphedema | congenital (dx within first year of life) Milroy disease, Meige disease (lymph. praecox) Lymph. Tarda (>35y/o) |
| what is mechanical insufficiency | low volume, is a result of altered function of lymph system |
| what is dynamic insufficiency | high volume, lymph load exceeds transport capacity (CHF hypoproteinemia CVI, dependency) |
| what is combined insufficiency | hemodynamic insufficiency AND lymphovenous (caused by CVI) |
| describe latent stage of lymphedema | no clinical signs, limb may feel heavy or tight |
| describe stage I of lymphedema | edema is observable, resolves with elevation, may be pitting, tissue soft negative or borderline Stemmers sign |
| describe stage II of lymphedema | edema is pitting and/or nonpitting, doesn't decrease whit elevation decreased ROM, +stemmers sign, fibrosis present, hyperkeratinosis, papillomatosis may be present |
| describe stage III of lymphedema | fibrosis, no pitting, disfigurement/elephantiasis, subcutaneous hypertrophy, ongoing infections likely |
| what labs may be pertinent | serum albumin, UA to assess for other causes of edema (renal/hepatic) lymph fluid protein level |
| what are the treatment goals | limb size reduction and preservation, alleviate sx's, prevent infection, improve limb function, ROM, improve QOL |
| Explain lipedema | Occurs in Women during or after puberty, nonpitting, tender to palpating, bruising common, always bilateral, ends at ankles, skin changes uncommon |
Created by:
Beth Perry
Popular Nursing sets