Edema Measurement and Management Techniques
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Questions and Answers

What is the characteristic of a 2+ pitting edema?

  • 8 mm pit with more than 20 seconds to rebound
  • 6 mm pit with a 10-12 seconds rebound
  • 2 mm pit with immediate rebound
  • 4 mm pit with a few seconds to rebound (correct)
  • Which of the following is a characteristic of non-pitting edema?

  • Fluid moves freely within the tissue (correct)
  • Immediate rebound after pressure is applied
  • Indicates acute edema condition
  • A visible pit remains for several seconds
  • Which measurement method is used to assess limb volume via water displacement?

  • Pitting scale
  • Girth measurement
  • Compression gauge
  • Volumeter (correct)
  • What is the recommended amount of compression for upper extremities in sequential compression pumps?

    <p>30-60 mm Hg</p> Signup and view all the answers

    Which treatment method increases compression as the patient ambulates?

    <p>Unna Boot</p> Signup and view all the answers

    What is the primary purpose of using ice in the RICE method for edema management?

    <p>To decrease immediate post-trauma edema</p> Signup and view all the answers

    Which of the following is NOT a contraindication for compression therapy?

    <p>Obesity</p> Signup and view all the answers

    Which technique aids in the management of lymphedema through limb shaping?

    <p>Shrinkers for residual limbs</p> Signup and view all the answers

    Match the edema scale with its corresponding depth and rebound time:

    <p>1+ = 2 mm; barely detectable; immediate rebound 2+ = 4 mm; deep pit; few seconds to rebound 3+ = 6 mm; deeper pit; 10-12 seconds to rebound 4+ = 8 mm; very deep pit; &gt; 20 sec to rebound</p> Signup and view all the answers

    Match the edema treatment with its description:

    <p>Cryotherapy = Decreases immediate post-trauma edema and pain Elevation = Aids in reducing swelling by raising the limb Compression garments = Custom-fit to ensure uniform pressure Active exercise = Includes electrical stimulation for edema management</p> Signup and view all the answers

    Match the type of edema with its characteristic:

    <p>Pitting edema = Depression forms and remains several seconds Non-pitting edema = No pitting observed because fluid moves freely Chronic edema = Characterized by pitting Acute edema = Typically shows non-pitting characteristics</p> Signup and view all the answers

    Match the compression method with its pressure range:

    <p>TED hose = 16-18 mm Hg; anti-embolic Unna Boot = 18-24 mm Hg; semi-rigid for ambulatory patients Ace wrap = About 19 mm Hg; used for venous compression Jobst garments = &gt;30 mm Hg; for edema management</p> Signup and view all the answers

    Match the measurement technique with its definition:

    <p>Girth measurement = Circumferential measurements pre and post treatment Volumeter = Uses water displacement to measure limb volume Pitting measurement = Press finger into tissue to assess edema Compression assessment = Evaluates uniformity and effectiveness of garments</p> Signup and view all the answers

    Match the contraindication with its condition:

    <p>CHF = Congestive heart failure; prevents compression therapy Renal failure = Impacts fluid management and edema ABI &lt; 0.5 = Contraindicated for certain compression techniques Wounds = May require different compression management</p> Signup and view all the answers

    Match the treatment method with its indication:

    <p>Sequential Compression Pumps = Used for chronic venous insufficiency Active exercise = Involves patient education and E.Stim Cryotherapy = Decreases pain and spasm from edema Unna Boot = Indicated for lymphedema management</p> Signup and view all the answers

    Match the treatment component of RICE with its purpose:

    <p>Rest = Prevents further injury Ice = Reduces swelling and pain Compression = Reduces edema at the injury site Elevation = Promotes venous return and decreases swelling</p> Signup and view all the answers

    Pitting edema is identified by a depression that remains for several seconds after pressure is applied.

    <p>True</p> Signup and view all the answers

    A 3+ pitting edema indicates a pit depth of 8 mm.

    <p>False</p> Signup and view all the answers

    Volumeter measurements are primarily used to assess limb volume through water displacement.

    <p>True</p> Signup and view all the answers

    Compression therapy is contraindicated if the ankle-brachial index (ABI) is greater than 0.5.

    <p>False</p> Signup and view all the answers

    RICE stands for Rest, Ice, Compression, Elevation as a method to manage edema.

    <p>True</p> Signup and view all the answers

    Unna Boots are flexible bandages used for managing arterial wounds.

    <p>False</p> Signup and view all the answers

    The recommended pressure for compression garments used in scar management typically ranges from 20-30 mm Hg.

    <p>True</p> Signup and view all the answers

    Active exercise can be performed with electrical stimulation in edema management.

    <p>True</p> Signup and view all the answers

    Study Notes

    Edema Description and Measurement

    • Edema Scales (1+ to 4+): Evaluates the depth of indentation (pitting) caused by pressure on the tissue
      • 1+: Barely detectable pit, immediate rebound
      • 2+: 2-4 mm pit, few seconds to rebound
      • 3+: 4-6 mm pit, 10-12 seconds to rebound
      • 4+: 8 mm+ deep pit, >20 seconds to rebound, Extremity significantly larger (1.5-2x normal size)
    • Pitting vs. Non-pitting:
      • Pitting: Depression remains after pressure is removed; characteristic of chronic edema
      • Non-pitting: No depression persists; often a result of fluid that can move freely

    Measurement Techniques

    • Girth Measurement: Circumferential measurements taken before and after treatment to track progress.
    • Volumeter: Measures limb volume using water displacement, particularly useful for hands and feet.

    Treatments for Edema Management

    • Cryotherapy: Reduces immediate post-trauma edema and pain.
    • Elevation: Helps to reduce fluid accumulation.
    • Compression: Crucial in edema management. Should be avoided if ankle brachial index (ABI) is below .5.
      • Types of Compression:
        • Garments: Custom-fitted to provide consistent pressure; for example TED hose (16-18 mmHg), ACE wrap (about 19 mmHg), Unna boots (18-24 mmHg), Compression garments (20-30 mmHg), Jobst or Game Ready ( >30 mmHg)
        • Unna Boot: Semi-rigid cast for chronic venous insufficiency and lymphedema; compression increases with ambulation.
        • Wraps: ACE wraps for venous edema and soft stretch wraps for lymphedema
        • Stump Shrinkers: For residual limbs
        • Sequential Compression Pumps (SCPs): Game Ready, Jobst;
          • Parameters: Customized settings for inflation pressure, on/off cycles, and treatment duration (30-60+ minutes)
          • Safety Considerations: Pressure should be below diastolic blood pressure to avoid arterial occlusion.
          • Recommended Pressure: Upper extremities (UE) 30-60 mmHg, Lower extremities (LE) 40-80 mmHg.
    • Massage (Venous or Lymphatic): Helpful depending on the cause of edema
    • Active Exercises: Can be used with or without electrical stimulation (E-Stim).
    • Patient Education: Crucial part of edema management.
    • RICE (Rest, Ice, Compression, Elevation): A popular initial approach to managing acute edema.

    Contraindications for Compression

    • CHF (Congestive Heart Failure): Caution is necessary with compression therapies.
    • Renal Failure: Use caution with compression.

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    Description

    This quiz explores the evaluation of edema through various scales, measurement techniques, and management strategies. Learn about pitting versus non-pitting edema, girth measurements, and treatment options such as cryotherapy and elevation. Test your knowledge on accurately assessing and treating edema effectively.

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