This course is Lesson 3 of a recently completed webinar entitled, "Wound Management, Unwrapped." Successfully completing this lesson will earn 1.5 CEs. For accreditation information and presenter biographies, Click here.

Topics:
I. Vascular Assessment
A. Ankle-Brachial Index (ABI)
1. Toe Pressures
2. When ABI is not accurate
B. Rubor of Dependency
C. Arteriogram
D. Laser Doppler and Transcutaneous Partial Pressure of Oxygen (TCPO2)

II. Pathophysiology of Venous Insufficiency
A. Valve incompetence, fibrin cuffs, leukocyte trapping, ischemia/re-perfusion cycle
B. Risk Factors and Patient History
C. Signs and Symptoms / Assessment

III. Treatment of Venous Insufficiency
A. Compression
1. Unna Boot
2. Multilayer Compression
3. Intermittant pneumatic compression
4. Stockings
B. Dressings
1. Alginates
2. Antimicrobials
3. Foams
4. Skin Substitutes
5. Etc
C. Functional Support of the venous system
1. Elevation
2. Mobility
3. Ankle ROM/Calf muscle pump

IV. Pathophysiology of Arterial Insufficiency
A. Risk Factors and Patient History
B. Signs and Symptoms / Assessment

V. Treatment of Arterial Insufficiency
A. Improvement of Arterial Status
1. Systemic Options
2. Local Options
B. Contraindications / Precautions
1. Debridement
2. Compression
C. Dressings
1. Hydrogels
2. Pain Control
3. Etc.

BEHAVIORAL/LEARNING OBJECTIVES:

1. Describe the pathophysiology of venous and arterial insufficiency ulcers.
2. Describe the treatments of venous and arterial insufficiency ulcers.