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Edema vs Lymphedema
Fluid Balance
 Fluid moves freely b/t interstitial & intravascular spaces to
maintain homeostasis
 4 types of pressure control fluid shifts across the capillary
membrane
 Capillary hydrostatic pressure( the internal fluid pressure on
the capillary membrane)
 Interstitial pressure (external fluid pressure on the capillary
membrane
 Osmotic pressure-(fluid attracting pressure from protein
concentration within the capillary
Fluid Balance
 Interstitial osmotic pressure (the fluid attracting
pressure from protein concentration outside the
capillary
 Normally capillary hydrostatic pressure is >than plasma
osmotic pressure at the capillary’s arterial end forcing
fluid out of the capillary.
 Capillary end the reverse is true(plasma osmotic
pressure is >)
 Edema results when balance is impeded with
increased capillary permeability, lymphatic obstruction,
increased capillary hydrostatic pressure, decreased
plasma osmotic or interstitial fluid pressure
Pitting edema
Lymphatic Disorders
Lymphedema
 Excessive and persistent accumulation of extravascular
and extracellular fluid and proteins in tissue spaces
 Caused by a disturbance of the water and protein
balance across the capillary membrane
 Increased concentration of proteins draws greater
amount of water into interstitial spaces
 Exceeds transport capacity of the lymphatic system,
leading to lymphedema
Contributing factors for
Lymphedema
 Congenital Malformation
 Infection and Inflammation
 Obstruction or Fibrosis
Trauma, Surgery, Neoplasms
Radiation Therapy
 Surgical Dissection of Lymph Nodes
 Chronic Venous Insufficiency
Edema vs Lymphedema
 Normal response to inury. As
healing occurs fluid
decreases
 Excess tissue fluid not yet
returned to circulatory syst.
 Caused by circulatory
system problems such as
chronic venous insuffiency,
 Does not leave a mark when
press (nonpitting)
 Can be relieved by diuretics
in some cases
 Lymphatic system is
impaired
 Excess lymph trapped in
tissue
 Body responds with slow
healing and at risk for
infections
 Leaves a mark
 Harmed by diuretics
Module 3: Treatments for Lymphedema
Link: http://www.proprofs.com/quiz-school/story.php?title=lymphedema-chaper-3
Password: Advance
Watch the training module (11 minutes)
Test Your Knowledge
Print Your Certificate
Module 4: Compression & Types
Link: http://www.proprofs.com/quiz-school/story.php?title=module-4-compression-
and-types
Password: Advance
Watch the training module (6 minutes)
Test Your Knowledge
Print Your Certificate
Module 5: Donning & Doffing
Link: http://www.proprofs.com/quiz-school/story.php?title=module-5_37
Password: Advance
Watch the training module (2 minutes)
The module includes three additional short videos on doffing and donning.
Test Your Knowledge
Print Your Certificate
References
 Clip art Bing.com, personal file or Mayo clip art
• Lymphedema certification Continuing Education
(Lerner-Vodder)
 Training Module

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Lymphedemasharepoint2

  • 2.
  • 3. Fluid Balance  Fluid moves freely b/t interstitial & intravascular spaces to maintain homeostasis  4 types of pressure control fluid shifts across the capillary membrane  Capillary hydrostatic pressure( the internal fluid pressure on the capillary membrane)  Interstitial pressure (external fluid pressure on the capillary membrane  Osmotic pressure-(fluid attracting pressure from protein concentration within the capillary
  • 4. Fluid Balance  Interstitial osmotic pressure (the fluid attracting pressure from protein concentration outside the capillary  Normally capillary hydrostatic pressure is >than plasma osmotic pressure at the capillary’s arterial end forcing fluid out of the capillary.  Capillary end the reverse is true(plasma osmotic pressure is >)  Edema results when balance is impeded with increased capillary permeability, lymphatic obstruction, increased capillary hydrostatic pressure, decreased plasma osmotic or interstitial fluid pressure
  • 5.
  • 6.
  • 7.
  • 10.
  • 11. Lymphedema  Excessive and persistent accumulation of extravascular and extracellular fluid and proteins in tissue spaces  Caused by a disturbance of the water and protein balance across the capillary membrane  Increased concentration of proteins draws greater amount of water into interstitial spaces  Exceeds transport capacity of the lymphatic system, leading to lymphedema
  • 12. Contributing factors for Lymphedema  Congenital Malformation  Infection and Inflammation  Obstruction or Fibrosis Trauma, Surgery, Neoplasms Radiation Therapy  Surgical Dissection of Lymph Nodes  Chronic Venous Insufficiency
  • 13. Edema vs Lymphedema  Normal response to inury. As healing occurs fluid decreases  Excess tissue fluid not yet returned to circulatory syst.  Caused by circulatory system problems such as chronic venous insuffiency,  Does not leave a mark when press (nonpitting)  Can be relieved by diuretics in some cases  Lymphatic system is impaired  Excess lymph trapped in tissue  Body responds with slow healing and at risk for infections  Leaves a mark  Harmed by diuretics
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. Module 3: Treatments for Lymphedema Link: http://www.proprofs.com/quiz-school/story.php?title=lymphedema-chaper-3 Password: Advance Watch the training module (11 minutes) Test Your Knowledge Print Your Certificate Module 4: Compression & Types Link: http://www.proprofs.com/quiz-school/story.php?title=module-4-compression- and-types Password: Advance Watch the training module (6 minutes) Test Your Knowledge Print Your Certificate Module 5: Donning & Doffing Link: http://www.proprofs.com/quiz-school/story.php?title=module-5_37 Password: Advance Watch the training module (2 minutes) The module includes three additional short videos on doffing and donning. Test Your Knowledge Print Your Certificate
  • 19. References  Clip art Bing.com, personal file or Mayo clip art • Lymphedema certification Continuing Education (Lerner-Vodder)  Training Module