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CDE Diabetes

Flashcards: Foot Care (Chapter 32)

Lower extremity complications are a leading cause of hospitalization and amputation in diabetes. These flashcards are designed to help pharmacists and healthcare professionals quickly recall the 2018 Clinical Practice Guidelines regarding risk stratification, the interprofessional approach to wound care, and the appropriate use of antimicrobials.

Key Topics Covered:

  • Risk Factors: Identifying peripheral neuropathy and peripheral arterial disease (PAD) as the primary drivers of foot ulceration and amputation.

  • Wound Management: Memorizing the core components of care: glycemic control, infection management, mechanical off-loading, and vascular assessment.

  • Antimicrobial Stewardship: Understanding the recommendation that antibiotics are not required for uninfected neuropathic ulcers and should be reserved for clinically infected wounds.

  • Dressing Selection: Recalling that there is insufficient evidence to support the routine use of expensive antimicrobial dressings over standard moist wound care.

  • Epidemiology: Recognizing the stark statistic that adults with diabetes are 20 times more likely to undergo nontraumatic lower limb amputation than the general population.