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25 Cards in this Set
- Front
- Back
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Hyperbaric indications |
-Hypoxic or ischemic wounds -Diabetic wounds -Venous Wounds -Failing skin grafts or flaps -Necrotizing soft tissue infections -Refractory osteomyelitis (refractory = not responding to other forms of treatment) -Compartment Syndrome |
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hyperbaric contraindications |
Aerobic microorganism infections -Poor cardiac output -Severe COPD
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Ultrasound duty cycle |
20% at 3mhz |
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Ultrasound treatment duration? |
1-2 min, from 2x per day to 3 x per week. |
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MIST indications |
Dirty wound -Infection -Necrotic tissue -Edema -Painful wounds would benefit more from MIST
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MIST Contraindications |
-Pregnancy -Cancer in the area of US treatment -Osteomyelitis or Acute infection -No traditional US over bony prominences -No stationary traditional US -No US over implanted devices or DVT -No US over the spine, brain, eyes, or reproductive organs -Mentally impaired patients
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Estim electrode placement |
-active electrode over the wound with a wet conductive medium -the dispersive electrode should be larger than the active pad and placed proximal |
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Examples of positive charged cells |
fibroblast and neutrophils |
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Negatively charged cells examples |
epithelial cells, neutrophils, macrophages |
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ES treatment duration |
60 minutes daily 5-7 days per week
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E-stim indications |
-Pressure Ulcers Stage I through IV -Diabetic ulcers -Venous Ulcers -Traumatic Wounds -Surgical Wounds -Ischemic Ulcers -Donor Sites/Burn Wounds -Wound Flaps
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LLLT treatment duration |
-Applied x 8-10 minutes over wound area -daily 5 x per week -non-contact -normally no sensation/no pain
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LLLT indications |
ALL WOUNDS!!!! |
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MIRE indications |
peripheral neuropathy, decreased local circulation, pain |
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MIRE contraindications |
-Cancer at the site -Pregnancy -Evidence of burn from previous treatment -Bony areas are more likely to burn -Patient should not lie on pads or have significant pressure holding pads on body.
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Pulsed Lavage PSI |
4-15 psi |
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Pulsed lavage contraindications |
for large or painful wounds |
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Negative pressure therapy indications |
-Chronic, acute, traumatic, subacute, and dehisced (surgically swen together, but it splits open) wounds -Partial thickness burns -Diabetic, pressure, and venous insufficiency wounds -Flaps and grafts
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Negative pressure therapy contraindications |
-Exposed blood vessels, anastomotic sites, organs, or nerves -Cancer -Untreated osteomyelitis -Unexplored fistulas (an opening bw 2 parts of the body that should not be there) -Wounds with eschar still present
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Ultra-Violet C indications |
-Infected or highly colonized wounds where traditional interventions are not working.
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UVC contraindications |
-Light sensitive disease such as SLE (lupus) -Current or past hx Melanoma or Squamous Cell Carcinomas -HIV -Fever -Radiation or deep X-Ray therapy
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UVC treatment duration |
30 sec to 2.5 minutes. |
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When should you begin to see improvement with UVC? |
5 daily treatments should begin to show infection improvement |
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Total contact cast indications |
-Non-healing, neuropathic plantar foot wound with no infection present.
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Total contact cast contraindications |
-Acute infection (don’t’ want to wrap a cast around it for a week) -Osteomyelitis -Dermatitis -Excessive edema (more swelling in a cast is bad) -Claustrophobia
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