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Stack #175203
Wound/Burns
| Question | Answer |
|---|---|
| Describe the most common pressure points for development of wounds | Sitting: Scapula, Ischial Tuberosity, heels, greater trochanter, popliteal crease.Supine: Sacrum, elbows, ischial tuberosity, iliac crest.Prone: ASIS, patella, acromion,perianal area.Sidelying: heels,thigh,iliac crest,acromion malleoli |
| Characteristics of Arterial, Venous, Diabetic wounds | Arterial: Painful at rest, pain incrases with elevation. Distal lateral leg. Temperture decreased. Pale color in elevation red on dependency. Venous: painless, decreased pain with elevation, medial aspect of lower leg and ankle. Temperture increased. R |
| Describe pressure ulcer classification | Stage 1: changes in skin temperature,tissue consistency, sensation, red blue or purple hues. Stage 2: Loss of partial thickness of the skin ulcer is superficial(abrasion, blister,shallow crater). Stage 3: Loss of full thickness of the skin, deep crater |
| THE FOUR DEGREES OF BURN INJURY ARE? | I superficialII partial thicknessIII full thickness IV full thickness+underlying tissue |
| FOUR PHASES OF WOUND HEALING | I: inflamation edema phagocytosis II: granulation, proliferation (5-30 days)III: fibroblasts bring wound edges closer together.IV: Scar formation |
| NINES RULE | Adults: Head 9% Chest and Abdomen 18% Upper mid low back/buttocks 18% UE 9% each Groin 1% LE 18% each |
| TREATMENT ................ | KEEP GOING!!!!!!!!!!!!! |
| MANAGEMENT OF MAJOR AND MINOR WOUNDS | Major: primary excision prevents infectiondebridement: promotes healing Watch for pneumonia!!!!!!Minor: cleansing/debridement |
| PHASES OF WOUND MANAGEMENT | Emergent: 5 days(24-48 hours) watch for respiratory distress. fluid loss and edemaAcute: weeks or months. fluid control diuresis Watch for infection!!!!!!!!!!!PT: maintain ROM/pain managementRehabilitative: Wound cover with skin or healed. Return patient |
| PRINCIPLES OF VACUM ASSISTED WOUND CLOSURE | Negative wound pressure therapy used to promote granulation in the wound bed. |
| EMERGENCY WOUND MANAGEMENT | Inmersion of burned part in cold water inmediately or cold compress.Cover wound with sterile or clean cloth NO oinments or creams. |
Created by:
adriossa
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