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Wound care
Special Topics
| Question | Answer |
|---|---|
| 2 wound categories: | *Intentional *Non-intentional |
| Sx is a form of a _____ wound and Trauma or self infliction is a form of a ____ wound | *Intentional *non-intentional |
| Disrupts normal skin integrity: | Wound |
| Wound healing begins____ | immediately |
| Phases of wound healing: | *Inflammation *Debridment *repair *maturation |
| Plt's initiate healing though release of _____ | Growth factors |
| During Inflammation: | Blood vessels constriction for 5-10 min, then dilate to release clotting factors |
| Debridment phase is the removal of ____ and occurs _____ hours after injury | *necrotic tissue *6 hours |
| Exudate includes: | WBC's and fluid |
| Wound strength is __in the first 3-_ days | *minimal *3-5 |
| Inflammation + debridment = | Lag phaase |
| Repair phase occurs ___- days after injury and lasts ___ days | *3-5days *17-20 days |
| New epithelium forms ___ days post injury if sutured ____ hrs of the injury | *4-5 days *24-48 hours |
| wound contraction occurs within ___ days | 5-9 |
| maturation is the ______ of collegen fibers to increase ____ | *cross linking *strength |
| It takes __ hrs for a blood clot to form,__ days for repair and __ yrs for a scar to completely form | *6 hrs *17-20days *1-2yrs |
| After a scar forms the slin will be to __% normal | 80% |
| _____ is cushings dz and ____ is addisons Dz | *HYPERadrenocortism *HYPOadrenocortism |
| ___ ___ and ___ are all commonly used drugs that prolong healing | Aspirin, corticosteriods, NSAIDS |
| Types of wound healing: | 1st, 2nd and 3rd intention |
| 1st intention: | Suture wound |
| 2nd Intention: | Leave wound open |
| 3RD Intention: | Leave wound open initially and then suture at a later time |
| ___ and ___ act as FB and delay healing | Creams and powders |
| You can use __ to temporarily close a wound in clinic while prepping. | Towel clamps |
| Warm ____ or ___ are use to lavage wounds | Sterile saline or electrolyte solution |
| ___, __, and ___ are never added to flushing solutions | Soap, detergent, or Antibiotics |
| A water pick or __ml syringe __g needle can be use to lavage a wound | *35ml *19g |
| Refreshment/excise of edges is known as: | En bloc |
| removal of affected tissue in layers is known as: | Layered removal |
| Solutions that contain Trypsin are known as a form of _____ debridment and are a ___ method | *enzymatic *slow |
| sugar, honey and saline are all forms of ___ solutions that should be used ___ tissue is present | *Hypertonic *granulation |
| Types of wound closures: | *Primary *delayed primary *contraction/epithelialization *Secondary closure |
| Primary wound closure is __ intention healing and is also called____ | *1st *Appositional healing |
| Primary closure is the ___ where a wound is still considered clean is ___ hrs after injury | *Golden period *6-8 |
| Delayed closure is ___ days after injury and before ___ tissue is formed | *1-3 days *granulation |
| Contraction and epithelialization is the _____ tissue ___ intention healing | *adhesion of granulation tissue *2nd intention |
| Deglovings are common in ___ injuries and will heal by ___ intention | *HBC *2nd intension |
| Secondary wound closures are sutured at ___ days when _____will not completely close the wound | *3-5 Days *epithelial & contraction |
| Secondary wound closure is __ intention healing | 3rd intention |
| In wound with questionable ____ or ___ should remain open | Blood supply or Dead space |
| Disturbance of epidermis or exposure of deep dermis: | Abrasion |
| Bandaging must include: | *Semiocclusive primary layer *change every 3-4 days *maintained until cover with epithelial tissue |
| Sharp incised edges: | Laceration |
| Tissue that is torn away: | Avulsion |
| Lacerations are still considered clean and can be sutured within ___ hours with ____ | *12hrs *debridment |
| If there is questionable blood supply you should: | Leave the wound open |
| survival rate of a burn victim with >50% is _____ | rare |
| 1st degree burn: | Superficial epidermis |
| 2nd degree burn: | all layers of the dermis, blisters |
| 3rd degree burn: | Full thickness/ all layers/leathery |
| 4th Degree burns: | full thickness/ involves dermis/ SQ and muscle |
| Metabolic intake of burn victim may increase up to __% | 200% |
| ____ is the key to avoiding decubital sores, by turning the patient every ___ hr | *Prevention *4 |
Created by:
brit_2112
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