Antibiotics oral if infected Debridement Surgical not first choice due to

Antibiotics oral if infected debridement surgical not

This preview shows page 69 - 77 out of 77 pages.

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
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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
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Varicose Veins
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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
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Vascular Disorders
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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.
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Vascular Disorders
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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
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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
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  • Fall '18
  • K Foster

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