Agents - 14 - Compression

Intermittent Pneumatic Compression IPC

compression

_________ is the inward directed mechanical force that increases pressure on the body

• prevent DVT

• facilitate healing of venous ulcers

• residual limb shaping

• scar control

• control of peripheral edema

primary clinical applications for compression: (5)

• circulatory system 

• lymphatic system 

• interstitial spaces between cells 

the three major pathways of normal fluid flow in the body:

10%

___% of blood volume goes through the lymphatic system 

systemic

we DO NOT treat ________ diseases with compression

• delayed healing

• decreased ROM

• decreased function

• pain

• skin pigment and collagen changes

• contractures and eformities

• ulceration

• cellulitis

• increased risk of infection

edema can lead to: (read)

COLLAGEN 

chronic edema leads to _______ deposits!

• anthropometric measurements

• volumeter

• pitting edema

three ways to measure edema

*no pitting edema scale on here

*no pitting edema scale on here

80%

___% of pts undergoing orthopedic surgeries will develop venous thromboembolisms without prophylactic interventions

MUSCULAR CONTRACTIONS 

remember, physical activity with _______________ is the BEST PUMP to return venous/lymph fluids 

venous stasis ulcers

compression is a mainstay of treatment for ______________!!

multilayered

________ compression is more effective than single layer compression for venous stasis ulcers

40-60mmhg

mod-high compression of ___-___ mmhg is recommended for venous stasis ulcers

static 

_____ compression is used for limb shaping after amputation and to prepare the limb for prosthetic 

hypertrophic scarring

static compression is also used for ____________ to reduce scar formation by increasing collagenase activity

contraindications:

• arterial insufficiency

• uncontrolled HTN

• thrombosis DVT or PE

• obstructed venous return

• CHF

• acute pulmonary edema

• malignancy

• acute trauma/fx

• arterial revascularization

precautions:

• recent skin graft

• acute local dermatologic infections

• impaired sensation

• impaired mentation

contraindications and precautions to IPC: (read)

IPC devices 

_______ provide sequential intermittent compression thought to provide more of a milking than single chamber compression sleeves 

resting

the _____ pressure of a bandage is exerted by elastic when it is put on stretch

working

the _____ pressure of a bandage is produced by active muscles pushing against inelastic bandages

high

for resting pressure, use ___-stretch bandages

low 

for working pressure, use ___-stretch bandages 

immobile

using high stretch bandages for resting pressure is most effective for patients who are __________

TED hose

________ are a specialized garment that provide both resting and working pressure

T

T/F: TED hose are worn 24 hrs a day