Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Which of the following treatments is NOT recommended for calciphylaxis?

1. Maintaining dry and protected lesions

2. Using vitamin D supplements

3. Controlling pain effectively

4. Focusing on debridement if stable

The correct answer is: Using vitamin D supplements

Vitamin D supplements are not recommended for the treatment of calciphylaxis because the condition is characterized by ectopic calcification and vascular calcification, primarily due to abnormalities in calcium and phosphorus metabolism. Adding vitamin D, which promotes calcium absorption in the intestines, could potentially exacerbate hypercalcemia or worsen calcification processes, thus complicating the patient's condition further. In contrast, maintaining dry and protected lesions is crucial in preventing infection and promoting healing. Effective pain control is also essential, as calciphylaxis can be extremely painful, and managing pain can improve the patient's quality of life. Additionally, focusing on debridement of stable wounds helps to remove necrotic tissue, which can facilitate healing and reduce the risk of infection, making it a beneficial component of care in these patients.