Is non-pitting edema graded 1-4?Register Today!
- by smstar1996 Mar 7, '09When 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.
- Mar 7, '09 by John20I 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.
- Mar 7, '09 by RuthiegalTry 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 EDEMA
2mm or less = 1 + Edema
- Slight pitting
- No visible distortion
- Disappears rapidly
2-4mm = 2 + Edema
- Disappears rapidly
- Somewhat deeper pit
- No readably detectable
- Disappears in 10-15 seconds (2-4 mm indent)
4-6mm = 3 + Edema
- Pit is noticeably deep
- May last more than 1
- Dependent extremity looks
fuller and swollen (4-6mm)
6-8mm = 4 + Edema
- Dependent extremity looks fuller and swollen (4-6mm)
- Pit is very deep
- Lasts as long as 2-5
- Dependent extremity is
grossly distorted (6-8mm)
Assessment Chart for Pitting Edema adapted from the Guelph General Hospital Congestive Heart Failure PathwayLast edit by Ruthiegal on Mar 7, '09 : Reason: more info.
- Mar 7, '09 by MagsulfateOops okay
- Mar 7, '09 by Valerie SalvaI was taught that the 1-4 grade refers to the amount of edema and that is is described as either pitting or non-pitting.
- Mar 7, '09 by RNKelTable 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 minutes
American College of Sports Medicine. (2006). Exercise Guidelines.
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Kindermann, M., Meyer, T., Kindermann, W., & Nickenig, G. (2003). Exercise training in heart failure. Herz, 28(2), 153-165.
- Sep 12, '10 by Omar, RN-BCIts 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.