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Is non-pitting edema graded 1-4?

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When charting edema I have always charted pitting or non-pitting. I thought only pitting edema was graded on a scale 1+-4+ and non-pitting edema was simply charted as non-pitting (along with any other charcteristics). Am I right? My new clinical instructor says that non-pitting would also be graded 1-4 but I can't find proof of that.
You Are correct because the 1-4 is grading how many seconds it takes for the indention that you made to go away. Right ?

Comment:
I have always understood non-pitting edema to be graded as "Non-pitting". I have graded it a "1" before when I could make a slight indention in the patient's foot. I've done a lot of assessments. To my knowledge there is only 1 "1-4" scale for edema. Let me know if you find out otherwise.

Comment:
Try this: Also I could find no reference to grading non-pitting edema. We always measured extremities to assess the degree of swelling, and the nature of the skin, taut, shiny, weeping etc. I have never heard of grading non pitting either. If anyone has please share. ASSESSMENT OF PITTING EDEMA2mm or less = 1 + Edema Slight pitting No visible distortion Disappears rapidly2-4mm = 2 + EdemaDisappears rapidly Somewhat deeper pit No readably detectabledistortion Disappears in 10-15 seconds (2-4 mm indent)4-6mm = 3 + EdemaPit is noticeably deep May last more than 1minute Dependent extremity looksfuller and swollen (4-6mm)6-8mm = 4 + EdemaDependent extremity looks fuller and swollen (4-6mm) Pit is very deep Lasts as long as 2-5minutes Dependent extremity isgrossly distorted (6-8mm)Assessment Chart for Pitting Edema adapted from the Guelph General Hospital Congestive Heart Failure Pathway

Comment:
Oops okay

Comment:
I was taught that the 1-4 grade refers to the amount of edema and that is is described as either pitting or non-pitting.

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Table 1: Grading of Pitting Edema Method 1: Depth and Duration+1 = Mild edema (0"-1/4" indentation), disappears rapidly+2 = Moderate Pitting (1/4"-1/2" indentation), disappears in 10-15 seconds+3 = Severe Pitting (1/2" - 1" indentation), disappears in 1-2 minutes+4 = Severe Pitting (>1" indentation), may be present after 5 minutesResourcesAmerican College of Sports Medicine. (2006). Exercise Guidelines.Certo, C. (2001). Cardiopulmonary Physical Therapy Journal, 12(2), 39-45.Kindermann, M., Meyer, T., Kindermann, W., & Nickenig, G. (2003). Exercise training in heart failure. Herz, 28(2), 153-165.

Comment:
Its not graded. When you see one it is mostly associated with DVTs and you can document it as a non-pitting edema and measure circumference of limb involve if its unilateral and compare it with non affected limb to gauge the amount of fluid accumulation.Omar, RN-BC
Author: peter  3-06-2015, 16:48   Views: 2423   
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