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
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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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