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Clinical 1 Unit D
Wounds, Dressings, Excisions, etc.
| Question | Answer |
|---|---|
| Wound caused by scraping | Abrasion |
| Wound caused by a sharp object | Incision |
| Wound caused by tearing, usually dirty | Laceration |
| Tissue is torn and separated from body | Avulsion |
| Causes of Shock (A-H) | Anaphylactic Breathing Probs Dehydration Hemorrhage Heart Problems |
| Causes of Shock (I-T) | Infection Metabolic Psychogenic Stroke Trauma |
| Shock is aggravated by changes in (5): | Temp Stress Pain Rough Handling Delay in Treatment |
| Early signs of shock (C-I) | Cold, clammy skin Confused Dizzy Fast shallow irregular respirations Fearful/Combative Irritable |
| Early signs of shock (I-W) | Pale Tachycardia Thready Pulse Thirsty Vomiting Weak |
| Late signs of shock | Apathetic Dilated Pupils Mottled Sunken Eyes Unconscious Unresponsive Vacant Expression |
| 3 Steps for Shock | Prevention Arrest (Keep from getting worse) Reversal |
| Treatment of Shock (3) | Positioning Maintain body temp Reassurance |
| Types of Bleeding (3) | Arterial Venous Capillary |
| 3 Ways to Control Bleeding | Direct Pressure Elevation Pressure Points |
| Pressure Points Location | Where artery lies near the surface of the skin directly over a bone |
| Stitches that use one | Continuous Stitches |
| 3 Steps for Shock | Prevention Arrest (Keep from getting worse) Reversal |
| Treatment of Shock (3) | Positioning Maintain body temp Reassurance |
| Types of Bleeding (3) | Arterial Venous Capillary |
| 3 Ways to Control Bleeding | Direct Pressure Elevation Pressure Points |
| Pressure Points Location | Where artery lies near the surface of the skin directly over a bone |
| Stitches that use one | Continuous Stitches |
| What are stitches called that you cut and tie each one? | Interrupted |
| What is a stitch called that you stitch around in a circle and pull shut? | Purse Strings |
| Inside stitches | Buried |
| Stitches where you get the top and bottom layer in one loop | Mattress Stitch |
| Stitches added to the outside of the main stitches to keep tension off wound | Retention Stitches |
| Sutures made out of surgical gut (intestines) | Absorbable |
| Plain gut sutures absorb themselves in ___ days | 5 to 10 |
| Chromic gut sutures are coated with _________ and absorb in _____ days | Chromic Oxide 10-20 days |
| 3 types of absorbable synthetic sutures | Dexon Polyglycolic Acid Vicryl |
| 4 types of non-absorable sutures | Nylon Polyester Silk Surgical Steel |
| 2 brands of polyester stitches | Tevdek Polydek |
| Suture sizes for faces | 5-0 to 8-0 |
| Sutures for areas in motion | 000 & 4-0 |
| What helps the needle go through the skin | Cutting Needle |
| Wound Process | Evaluation Anethesia Control Bleeding Irrigation & Debridement Eliminate dead space Closure Aftercare |
| What type of anesthetic has a blue label? | Xylocaine (Lidocaine is generic name) |
| What type of anesthetic has a red label? | Xylocaine w/ Epinephrine (restricts blood vessels) |
| What shouldn't we use Xylocaine w/Epinephrine on? | Fingers, Nose, Penis, Toes |
| What is the type of anesthetic dentists use? | Novocaine |
| Topical anesthetic for mucous membranes, not skin | Tetracaine (aka cetacaine) |
| TAC contains: | Tetracaine, Adrenaline, & Cocaine |
| LET contains: | Lidocaine, Epinephrine, & Tetracaine |
| Terms regarding Cauterization | Hyfrecator Electrodesication Fulgeration |
| Ligature means: | To tie off a blood vessel |
| Solutions used to cleanse a wound (3) | Saline (0.9% Salt Water) Betadine Hibidens |
| Follow __________ lines when suturing. They are the bodies fold lines. | Langer Lines |
| What is a 1st Intention? | Sutured. Has closed and healed. |
| A wound that needs to heal from the bottom up. Can't be sutured. | 2nd Intention |
| Eversion of Wound edges means: | to tilt so it won't "sink" |
| What is a cicatrix? | Scar |
| Difference between a dressing & bandage | Dressing covers Bandage wraps |
| 4 purposes of a dressing: | Control Bleeding Absorb discharge Prevent Infection Ease Pain |
| What is tegaderm | absorbant pad that goes on wound |
| A substance that helps steri-strips/butterflies stick to skin. | Tincture of benzoin |
| Glue used to hold tissues together | Dermabond |
| Transparent dressing used to cover skin: | Duoderm Tegasorb |
| What is wound drainage called | Exudate |
| Drainage made up of serum | Serous |
| Bloody wound drainage | Sanguineous |
| Pussy wound drainage | Purulent |
| 3 Stages of Wound Healing | Inflammatory Stage Granulation Phase Maturation Phase |
| Wound healing stage that normally last for 4 days. Clotting phase | Inflammatory Phase |
| Wound healing stage where new tissue is formed | Granulation phase |
| Wound healing phase where collagen and scar tissue forms | Maturation phase |
| Patient Care Instructions (for wounds) (4) | Signs of infection Can they get it wet Dressing/No Dressing When do sutures come out |
| 7 Signs of infection: | Redness/Excessive Swelling Throbbing pain/Tenderness Red streaks going away from wound Pus or watery discharge Lumps/Swelling-armpit/groin/neck Foul Odor Chills/Fever |
Created by:
jruhde
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