Lymphology Association of North America (LANA) Practice Exam

What are the contraindications for lymphedema bandaging?

1. Diabetes, menstrual period

2. Severe arterial disease, acute cellulitis

3. Paralysis, CVI, hypertension

4. Hypothyroidism, CVI

The correct answer is: Severe arterial disease, acute cellulitis

Severe arterial disease and acute cellulitis are significant contraindications for lymphedema bandaging due to the potential complications associated with these conditions. In the case of severe arterial disease, the circulation is compromised, and applying compression can further restrict blood flow, leading to the risk of tissue ischemia and potential necrosis. Therefore, it's critical to avoid bandaging in such situations to protect the integrity of the tissues and ensure adequate blood supply. Acute cellulitis, which is an infection of the skin and underlying tissues, can exacerbate if compression is applied. The inflammation and swelling associated with cellulitis can increase, potentially leading to further complications, such as the spread of infection. Therefore, performing bandaging in the presence of active infections is contraindicated due to these health risks. Understanding these contraindications is vital for safe lymphedema management, ensuring that patients receive appropriate treatment without risking their overall health or exacerbating existing conditions.