WOCN program
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| what are the 3 primary causative factors for Lower extremity neuropathic disease | Systemic disease (diabetes) trauma, infectious or autoimmune diseases, Vit. Deficiency, alcoholism
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| xerosis is a sign of what |
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| what is the test for sensory neuropathy | Semester-Weinstein 10g monofilament 9 sites in random order for 1-2 seconds
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| common diabetic foot deformity is called | Charcot
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| 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)
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| identify the characteristics of a diabetic foot ulcer | edges well defined, round, periwound callus, dry or min exudate, pale, pink or necrotic base
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| what is a method to identify areas of increased pressure and unequal weight distribution of patients feet | Pressure mapping
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| debridement of callus is best accomplished by ___ | Paring or sharp debridement
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| 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
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| what does "Probe to the bone" indicate | Osteomyelitis
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| What is the most common location for LEND | Plantar surface of foot
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| 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
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| Describe common wound findings | Pale, pink or necrotic base, sm to mod exudate
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| Describe surrounding skin characteristics | Callus, may have maceration,
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| Complications seen with LEND |
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| Describe pain associated with LEND | Tingling, electric, pins and needles, dysthesia, parathesia
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| Noninvasive tests for LEND | monofilament, vibratory and positional
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| Assessment of LOPS | Semester-Weinstein monofilament, vibratory test, deep tendon and patellar reflexes.
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| 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
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| Goals of topical therapy in LEND | treat/monitor for infection, maintain physiologic wound bed,
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| Topical therapy considerations/options with LEND | Topical abx based on culture results all night with systemic abx
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| Adjunctive therapy options with LEND | HBOT, NPWT,
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| Types of neuropathy | Sensory, motor, autonomic
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| management of charcot | non wgt bearing during acute phase, lifelong protection and monitoring (for ulceration-pt at higher risk)
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| neuropathic pain management | dysthesia=capsaicin, gabapentin,pregabalin, ssri's paresthesia=tricyclics, opoids both=analgesics=topical, systemic
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Created by:
Beth Perry
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