Podcast
Questions and Answers
What is the characteristic of a 2+ pitting edema?
What is the characteristic of a 2+ pitting edema?
Which of the following is a characteristic of non-pitting edema?
Which of the following is a characteristic of non-pitting edema?
Which measurement method is used to assess limb volume via water displacement?
Which measurement method is used to assess limb volume via water displacement?
What is the recommended amount of compression for upper extremities in sequential compression pumps?
What is the recommended amount of compression for upper extremities in sequential compression pumps?
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Which treatment method increases compression as the patient ambulates?
Which treatment method increases compression as the patient ambulates?
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What is the primary purpose of using ice in the RICE method for edema management?
What is the primary purpose of using ice in the RICE method for edema management?
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Which of the following is NOT a contraindication for compression therapy?
Which of the following is NOT a contraindication for compression therapy?
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Which technique aids in the management of lymphedema through limb shaping?
Which technique aids in the management of lymphedema through limb shaping?
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Match the edema scale with its corresponding depth and rebound time:
Match the edema scale with its corresponding depth and rebound time:
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Match the edema treatment with its description:
Match the edema treatment with its description:
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Match the type of edema with its characteristic:
Match the type of edema with its characteristic:
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Match the compression method with its pressure range:
Match the compression method with its pressure range:
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Match the measurement technique with its definition:
Match the measurement technique with its definition:
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Match the contraindication with its condition:
Match the contraindication with its condition:
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Match the treatment method with its indication:
Match the treatment method with its indication:
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Match the treatment component of RICE with its purpose:
Match the treatment component of RICE with its purpose:
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Pitting edema is identified by a depression that remains for several seconds after pressure is applied.
Pitting edema is identified by a depression that remains for several seconds after pressure is applied.
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A 3+ pitting edema indicates a pit depth of 8 mm.
A 3+ pitting edema indicates a pit depth of 8 mm.
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Volumeter measurements are primarily used to assess limb volume through water displacement.
Volumeter measurements are primarily used to assess limb volume through water displacement.
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Compression therapy is contraindicated if the ankle-brachial index (ABI) is greater than 0.5.
Compression therapy is contraindicated if the ankle-brachial index (ABI) is greater than 0.5.
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RICE stands for Rest, Ice, Compression, Elevation as a method to manage edema.
RICE stands for Rest, Ice, Compression, Elevation as a method to manage edema.
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Unna Boots are flexible bandages used for managing arterial wounds.
Unna Boots are flexible bandages used for managing arterial wounds.
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The recommended pressure for compression garments used in scar management typically ranges from 20-30 mm Hg.
The recommended pressure for compression garments used in scar management typically ranges from 20-30 mm Hg.
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Active exercise can be performed with electrical stimulation in edema management.
Active exercise can be performed with electrical stimulation in edema management.
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Study Notes
Edema Description and Measurement
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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)
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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.
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Compression: Crucial in edema management. Should be avoided if ankle brachial index (ABI) is below .5.
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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
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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.
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Types of Compression:
- 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.