Antibiotics (oral) if infected – Debridement • Surgical (not first choice due to possibly contaminating OR) • Mechanical (Wet to Dry NS dressings) • Chemical (Enzymatic) • Other (debriding beads , absorptive calcium alginate, maggots?) – Dressings to keep wound bed warm/moist to promote healing
Vascular Disorders • Varicose veins – Abnormally dilated, tortuous, superficial veins caused by incompetent valves – Usually in legs (esophageal varices, hemorrhoids are also considered varicose veins) – 60% of adult US population have varicose veins – More common in women and people who have occupations which require prolonged standing – Hereditary component
Vascular Disorders • Varicose Veins – Manifestations • Dull aches • Nocturnal muscle cramps • Muscle fatigue • Edema/ heaviness of the legs • S/S of chronic venous insufficiency – Prevention • Avoid constrictive clothing (socks, girdles) and crossing legs • Increase activity (walking, swimming) • Weight reduction
Varicose Veins Prevention • Avoid activities that cause venous stasis • Elevate the legs 3 to 6 inches higher than the heart level • Walk for several minutes of every hour to promote circulation and 1 or 2 miles each day of there are no contraindications. • Wear graduated compression stockings • Overweight patients should be encouraged to begin weight reduction plans.
Vascular Disorders • Lymphatic Disorders – Lymphedema -tissue swelling due to excess lymph as result of obstruction • Obstruction in the lymph nodes or lymphatic vessels • Worsens with dependency • Seen in arms after axillary node dissections with breast cancer** • Seen in legs with varicose veins and chronic thrombophlebitis
Vascular Disorders • Lymphatic Disorders – Medical Management • Goal is to reduce and control edema and prevent infection* • Active/passive exercise to promote flow of lymph • External compression stockings/sleeves • Diuretics • Antibiotics • Surgery
- Fall '18
- K Foster