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CLT-LANA Exam Study Guide

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CLT-LANA Exam Study Guide Stage 0 CVI - Answer-No symptoms, norm protein Stage I cvi - Answer-Mild edema, normal protein, norm lymph vessels, phlebolymphodynamic insufficiency Stage 2 cvi - Answer-Mod symptoms ( pigmentation, viscosity, pain), high protein, vessels morphologically changed, TC reduced, phlebolymphostatic insufficiency Stage 3 cvi - Answer-Severe symptoms( hypoxia, necrosis, pain), very high protein load, lymph vessels morphologically change, TC reduced, severe phlebolymphostatic insufficiency Treatment stage 0 cvi - Answer-Compression therapy, elevation, exercise Treatment stage 1 cvi - Answer-Compression therapy, elevation, exercise Treatment stage 2 cvi - Answer-CDT Treatment stage 3 cvi - Answer-CDT and wound care Ambulatory venous hypertension - Answer-Failure of venous valves such that blood flow bidirectional resulting in increased pressure to the capillaries What happens with low flow states in blood capillaries to leukocytes - Answer-They become trapped and release proteolytic enzymes and oxygen free radicals which damage capillary basement membranes EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 2/6 What happens to plasma proteins with low flow states in blood capillaries - Answer-Plasma proteins leak into leak into the surrounding tissue creating a fibrin cuff, edema, and hypoxia What causes reddish brown skin associated with edema/ lymphedema - Answer-High intracApillary pressure stretches endothelial cells away from each other and eurythrocytes leave the blood capillaries staining skin with hemosiderin deposits Does ambulatory venous hypertension cause an increase or decrease in net filtration - Answer-Increase What causes mechanical insufficiency in cvi - Answer-Fibrin leakage into the tissue as well as an inflammatory reaction overall increase in protein and water load What is not considered with staging lymphedema - Answer-Limb volume Mild lymphedema severity volume increase - Answer-20% Moderate lymphedema severity volume increase - Answer-20-40% Severe lymphedema severity increase - Answer-40% Where do DVT form - Answer-Sub fascial veins What is the most common ulceration and where do they form - Answer-Venous stasis and they form in the distal 1/3 of the leg usually around the malleoli vascular venous wounds - Answer-Shallow, irregular, on anterior/ medial leg with peri wound with hemosiderin staining,scaly, weepy, warm skin

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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.




CLT-LANA Exam Study Guide

Stage 0 CVI - Answer✔✔-No symptoms, norm protein


Stage I cvi - Answer✔✔-Mild edema, normal protein, norm lymph vessels,

phlebolymphodynamic insufficiency


Stage 2 cvi - Answer✔✔-Mod symptoms ( pigmentation, viscosity, pain), high protein, vessels

morphologically changed, TC reduced, phlebolymphostatic insufficiency


Stage 3 cvi - Answer✔✔-Severe symptoms( hypoxia, necrosis, pain), very high protein load,

lymph vessels morphologically change, TC reduced, severe phlebolymphostatic insufficiency


Treatment stage 0 cvi - Answer✔✔-Compression therapy, elevation, exercise


Treatment stage 1 cvi - Answer✔✔-Compression therapy, elevation, exercise


Treatment stage 2 cvi - Answer✔✔-CDT


Treatment stage 3 cvi - Answer✔✔-CDT and wound care


Ambulatory venous hypertension - Answer✔✔-Failure of venous valves such that blood flow

bidirectional resulting in increased pressure to the capillaries


What happens with low flow states in blood capillaries to leukocytes - Answer✔✔-They become

trapped and release proteolytic enzymes and oxygen free radicals which damage capillary

basement membranes

Page 1/6

, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



What happens to plasma proteins with low flow states in blood capillaries - Answer✔✔-Plasma

proteins leak into leak into the surrounding tissue creating a fibrin cuff, edema, and hypoxia


What causes reddish brown skin associated with edema/ lymphedema - Answer✔✔-High

intracApillary pressure stretches endothelial cells away from each other and eurythrocytes leave

the blood capillaries staining skin with hemosiderin deposits


Does ambulatory venous hypertension cause an increase or decrease in net filtration -

Answer✔✔-Increase


What causes mechanical insufficiency in cvi - Answer✔✔-Fibrin leakage into the tissue as well as

an inflammatory reaction overall increase in protein and water load


What is not considered with staging lymphedema - Answer✔✔-Limb volume


Mild lymphedema severity volume increase - Answer✔✔-<20%


Moderate lymphedema severity volume increase - Answer✔✔-20-40%


Severe lymphedema severity increase - Answer✔✔->40%


Where do DVT form - Answer✔✔-Sub fascial veins


What is the most common ulceration and where do they form - Answer✔✔-Venous stasis and

they form in the distal 1/3 of the leg usually around the malleoli


vascular venous wounds - Answer✔✔-Shallow, irregular, on anterior/ medial leg with peri

wound with hemosiderin staining,scaly, weepy, warm skin


Page 2/6

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