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Wound Care
Neuropathic Wound
| Question | Answer |
|---|---|
| What is the most common cause of peripheral neuropathy? | DM |
| 90-95% of all cases of DM are type I or II? | II |
| When is the typical onset of DM II? | >40 years old |
| Besides I and II, what are the other types of diabetes? | gestational, genetic |
| The number of cases of DM has increased __x over the last 40 years. | 6 |
| What % of the US has DM? | 7%(14.6 mill diagnosed, 6.2 mill undiagnosed) |
| What is the annual cost of DM per year? | 14 billion |
| Casual plasma glucose ≥___ mg/dL results in the diagnoses of DM. | 200 |
| Fasting plasma glucose ≥___ mg/dL mg/dL results in the diagnoses of DM. | 126 |
| What is normal hemoglobin A1C? | 7% |
| What is ischemic necrosis? | ulcer resulting from low pressure over long time |
| What is mechanical disruption? | high pressure (600psi) that causes immediate damage |
| What is inflammatory destruction caused by? | repetitive moderate pressure (40-60psi) |
| What is the most common site for ulceration? | foot(71%) |
| What is the most common site for ulceration on the foot? Others? | 1)3rd met head 2)Great toe 3)5th met head |
| What areas are prone to ulceration? | prior wound sites |
| What is the gold standard for testing sensation of the foot? | Semmes-Wienstein Monofilament Testing |
| Normal sensation = how much force? | 4.17(1g) |
| Loss of protective sensation = how much force? | 5.07(10g) |
| Insensate foot = how much force? | 6.10(75g) |
| If you notice a big difference in pressures when testing segmental pressure in a diabetic pt, what may be the problem? | could be a blockage |
| When doing vascular temperature testing, areas of excessive heat indicate what? | a vascular response to trauma |
| What skeletal deformity results from fractures and dislocations of bones in medial the arch, loss of intrinsic muscles, and is degenerative? | Charcot Arthropathy |
| Wagner Classification System grade 0=? | skin intact |
| Wagner Classification System grade 1=? | superficial |
| Wagner Classification System grade 2=? | Deeper ulcer to tendon or bone |
| Wagner Classification System grade 3=? | Ulcer with abscess or osteo |
| Wagner Classification System grade 4=? | gangrene on foot |
| Wagner Classification System grade 5=? | Gangrene over majority of foot |
Created by:
txst spr 2010
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