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Surgical Wound Care

QuestionAnswer
BANDAGE A STRIP OR ROLL OF CLOTH OR OTHER MATERIAL THAT CAN BE WOUND AROUND A PART OF THE BODY IN A VARIETY OF WAYS FOR MULTIPLE PURPOSES.
BINDER A BANDAGE MAD OF LARGE PIECES OF MATERIAL (ELASTIC, COTTON, MUSLIN, OR FLANNEL) THAT FIT A SPECIFIC BODY PART.
DEHISCENCE SEPARATION OF SURGICAL INCISION OR WOUND, OFTEN ABDOMINAL WOUNDS.
DRAINAGE REMOVAL OF FLUIDS FROM A BODY CAVITY, WOUND, OR OTHER SOURCE OF DISCHARGE. MAY OCCUR PASSIVELY OR REQUIRE MECHANICAL ASSISTANCE.
EVISCERATION PROTRUSION OF INTERNAL ORGAN THROUGH INCISION OR WOUND. OFTEN IN ABDOMINAL WALL.
EXUDATE FLUID, CELLS, OR OTHER SUBSTANCES THAT HAVE SLOWLY EXUDED, OR DISCHARGED, FROM CELLS OR BLOOD THROUGH SMALL PORES OR BREAKS IN CELL MEMBRANES.
GRANULATION SOFT, PINK, FLESHY PROJECTIONS CONSISTING OF CAPILLARIES SURROUNDED BY FIBEROUS COLLAGEN.
INCISION A CUT PRODUCED SURGICALLY BY A SHARP INSTRUMENT.
INFECTIOUS PROCESS A CONDITION CAUSED BY INVASION OF THE BODY BY PATHOGENIC MICROORGANISMS. USUALLY EVIDENCED BY ELEVATED WBC.
INFLAMMATORY RESPONSE TISSUE'S REACTION TO INJURY. DEPENDS ON INJURY INFLECTED, SIZE OF INJURY, AND PHYSICAL CONDITION OF THE PATIENT. FLUID FROM CELLS AND LEUKOCYTES COLLECT ALONG VESSEL WALLS AND FIBRIN WALLS OF INJURY AND PROVIDE THE MATRIX FROM NEW CELL GROWTH.
IRRIGATION A GENTLE WASHING OF AN AREA WITH A STREAM OF SOLUTION.
PRIMARY INTENTION MINIMUM SCARING. HEALING BEGINS DURING INFLAMMATORY PHASE OF HEALING.
PUNCTURE STAB WOUND FOR A DRAINAGE SYSTEM.
PURULENT PRODUCING OR CONTAINING PUS
SANGUINEOUS BLOOD, INDICATE ACTIVE BLEEDING.
SECONDARY INTENTION WHEN A WOUND MUST GRANDULATE DURING THE HEALING PROCESS. OCCURES WHEN SKIN EDGES ARE NOT COMING TOGETHER OR APPROXIMATE. OR WHEN PUS FORMS.
SEROSANGUINEOUS PALE WITH RED OR WATERY DISCHARGED.
SEROUS WATERY DISCHARGE.
T-TUBE AFTER SURGICAL REMOVAL OF GALL BLADDER, BILE DUCT IS OFTEN INFLAMED. A DRAINAGE TUBE INTO DUCT WILL MAINTAIN A FREE FLOW OF BILE UNTIL EDEMA SUBSIDES.
TERTIARY INTENTION DELAYED PRIMARY INTENTION. DR. LEAVES A CNTAMINATED WOUND OPEN TO CLOSE LATER IN THE HEALING PROCESS, AFTER INFECTION IS CONTROLLED. USUALLY SUTURING TWO LAYERS OF GRANULATED TISSUE.
VACUUM-ASSISTED CLOSURE A DEVICE THAT ASSISTS WITH WOUND CLOSURE BY APPLYING LOCALIZE NEGATIVE PRESSURE TO DRAW EDGES OF WOUND TOGETHER.
WOUND INJURY TO THE BODY'S TISSUE INVOLVING A BREAKING OF SKIN. CAN BE OPEN OR CLOSED. INTENTIONAL OR UNINTENTIONAL.
WHEN APPLIED CORRECTLY BANDAGES AND BINDERS DO NOT.... CAUSE INJURY TO UNDERLYING BODY PARTS AND ARE NOT UNCOMFORTABLE FOR PATIENT.
BEFORE BANDAGE OR BINDER IS APPLIED.. 1. INSPECT SKIN FOR ABRASIONS, EDEMA, DISCOLORATION, OR EXPOSED WOUND EDGES. 2. COVER WOUNDS OR OPEN ABRASIONS W/ STERILE DRESSINGS. 3. ASSESS THE CONDITIONS OF UNDERLYING DRESSINGS AND CHANGE IF SOILED. 4. ASSESS CIRCULATORY IMPAIRMENT.
HEMOSTASIS FIRST STAGE IN HEALING PROCESS. TERMINATION OF BLEEDING. BEGINS ONCE INJURY HAS OCCURRED.
INFLAMMATORY PHASE SECOND STAGE. INCREASE OF ELEMENTS TO THE WOUND. CAUSES; HEAT, EDEMA, PAIN, AND DIS FUNCTION OF TISSUE.
RECONSTRUCTION PHASE THIRD STAGE IN WOUND HEALING. FIBROBLASTS PRODUCE COLLAGEN, GLUE TYPE PROTEIN SUBSTANCE ADDING STRENGTH TO WOUND AND TISSUES. WOUND DEHISCENCE APPEARS DURING THIS TIME.
MATURATION PHASE FOURTH STAGE OF WOUND HEALING. FIBROBLASTS EXIT WOUND. WOUND GAINS STRENGTH. KELIODS MAY FORM DURING THIS TIME.
NURSE SHOULD INSPECT DRESSINGS EVERY 2-4 HOURS FOR THE FIRST 24 HOURS
GAUZE PERMITS AIR TO REACH WOUND
SEMIOCCLUSIVE DRESSING PERMITS OXYGEN BUT NO IMPURITIES
OCCULUSIVE PREMITS NEITHER AIR OR OXYGEN TO PASS.
MORE THEN ______ DRAINAGE WITH 24 HRS IS ABNORMAL. 300ML (10 OZ)
CLOSED DRAINAGE AIR TIGHT, PREVENTS ENVIRONMENTAL CONTAMINATES FROM ENTERING WOUND.
OPEN DRAINAGE PIN ROSE
SUCTION DRAINAGE PUMP OR MECHANICAL DEVICE TO TO EXTRACT FLUID.
CLEAN WOUND UNINFECTED SURGICAL WOUND. 5% INFECTION RATE POST OPT.
CLEAN-CONTAMINATED WOUNDS SURGICAL INCISION INTO GI, RESP., GENTIOURINARY TRACT. 3%-11% INFECTION RATE POST OPT.
CONTAMINATED WOUNDS PRESENCES OF GI PRODUCTS: FECES, APPENDIX, ECT.) 10%-17% POST OPT INFECTION RATES
DIRTY WOUNDS EXAMPLE GANGRENE BEFORE OPERATION. 27% POST OPT INFECTION RATE.
Created by: eeekberry