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Wound care

Special Topics

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