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What is compression?
Inward-directed mechanical force that increases pressure on the body; increases osmotic pressure to return fluid
What are the different types of compression?
Static or intermittent, uniform or sequential
What are some clinical applications of compression?
Peripheral edema, DVT prevention, venous ulcer healing, residual limb shaping, scar control; WE DO NOT TREAT SYSTEMIC DISEASE WITH COMPRESSION
A pitting edema scale measure of 1+ indicates what?
Barely detectable impression when finger pressed into skin
A pitting edema scale measure of 2+ indicates what?
Slight indentation, 15 sec to rebound
A pitting edema scale measure of 3+ indicates what?
Deeper indentation, 30 sec to rebound
A pitting edema scale measure of 4+ indicates what?
Greater than 30 secs to rebound
What compression parameters should be used for venous stasis ulcers, and what does it do?
40-60 mmHg to improve venous circulation and rate of healing
What compression parameters should be used for hypertrophic scarring, and what does it do?
20-30 mmHg for 23 hrs/day to increase collagenase activity and decrease contractures
List some contraindications for compression
Arterial insufficiency, uncontrolled HTN, thrombosis, CHF, malignancy, acute pulmonary embolism