Animal Tech VI
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| 2 types of wounds | show 🗑
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| show | a clean separation of skin & tissue wit smooth, even edges
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| show | separation of skin & tissue in which the edges are torn & irregular
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| Abrasion | show 🗑
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| show | Stripping away of large areas of skin & underlying tissue, leaving cartilage & bone exposed.
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| Ulceration | show 🗑
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| show | an opening of skin, underlying tissue, or mucous membrane caused by a narrow sharp, pointed object.
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| show | Also called a BRUISE, Injury to soft tissue underlying the skin from the force of contact w/ a hard object.
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| Wound | show 🗑
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| Trauma | show 🗑
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| show | the surface of the skin or mucous membrane is no longer intact.
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| show | there is no opening in the skin or mucous membrane occur from blunt trauma or pressure.
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| Granulation tissue | show 🗑
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| Dehiscence | show 🗑
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| Evisceration | show 🗑
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| Three sequential phases | show 🗑
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| Inflammation | show 🗑
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| Stages of Inflammation | show 🗑
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| show | 0.9% sodium chloride.
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| show | use sterile qtip (does no hurt pt).
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| Proliferation | show 🗑
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| Remodeling | show 🗑
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| Factors affecting wound healing | show 🗑
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| 1st intention/Primary intention healing | show 🗑
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| show | wound edges are widely separated, margins are not in direct contact, a scar generally forms, presence of body fluid.
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| show | wound debris w/in the wound will prolong the healing; disrupted granulation tissue will retard the healing process.
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| 3rd intention/tertiary intention | show 🗑
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| show | promotes healing, goal is to reapproximate the tissue to restore integrity.
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| show | clear watery fluid (ex. Blister)
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| Serosanguineous | show 🗑
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| Sanguineous | show 🗑
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| Purulent | show 🗑
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| show | keep wound clean, absorb drainage, controls bleeding, protection from further injury, holds medication in place, maintains a moist environment.
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| Npo pain meds | show 🗑
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| show | take 30-35 mins to work in body.
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| Intramuscular pain meds | show 🗑
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| IV pain meds | show 🗑
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| Pain meds | show 🗑
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| show | woven fibers, highly absorbent, wound assessment can be difficult, granulation tissue may adhere (stick), secured w/tape.
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| show | strips of tape w/eye lids that have a shoe lace through it.
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| Purpose of gauze dressings | show 🗑
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| show | to prevent irritation.
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| show | clear wound covering (opsite), assessment w/o removal, less bulky, no tape, non absorbent dressing, common use: IV site.
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| show | self adhering, Opaque, air & water occlusive (duoderm), Keep wounds moist, leave intact for up to 1 wk, size generously.
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| show | wound nds assessment, requires care, dressing is loose, saturation, physician may assume responsibility for 1st change
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| show | means for removing blood & drainage, promotes healing, placement direct insertion, separate location besides the wound.
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| show | flat, flexible tubes, pathway for drainage toward the dressing, drains passively by gravity & capillary action secured w/ safety pin or clip, may shorten drainage decrease.
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| Closed drains | show 🗑
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| show | clean using circular motions, precut drain sponge or gauze.
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| show | Sutures, staples, steri-strips/butterflies.
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| show | hold an incision 2gether, silk or synthetic material (nylon), encircles the wound.
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| show | wide metal clips, form a bridge holding 2 wound margins 2gether.
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| Steri-strips/butterflies | show 🗑
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| show | sutures will not compress the tissue if it swells, & it does not encircle the wound.
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| Bandages | show 🗑
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| Binders | show 🗑
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| show | hold dressings in place especially when tape cannot be used or the dressing is extremely large.
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| Bandages/binders2 | show 🗑
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| Bandages/binders3 | show 🗑
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| Principles of roller bandages1 | show 🗑
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| show | keep bandage free of wrinkles, secure end of roller bandage w/metal clips, check the color/sensation of exposed fingers or toes often, remove bandage for hygiene/replace twice a day.
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| Styles of bandage application | show 🗑
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| show | not commonly used, replaced by commercial devices, T-binder, used to secure a dressing to anus or perineum or w/in the groin.
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| show | removal of dead tissue, promotes healing, 4 methods: sharp, enzymatic, autolytic, mechanical.
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| show | removal or necrotic tissue, sterile scissors, forceps or other instruments, preferred for infected wound, preformed @ bedside or in surgery, Painful, Bleeding may occur.
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| Euchar | show 🗑
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| Enzymatic debridement | show 🗑
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| show | small wound, infection free, prolonged time to achieve results, painless, natural physiological process, occlusive or semi-occlusive dressing, monitor for s/s of infection.
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| Mechanical debridement1 | show 🗑
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| show | Hydrotherapy, submerged in a whirl pool tank, antiseptic solution, agitation softens dead tissue, sharp debridement for loose debris.
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| show | Irrigation (uses normal saline to clean out area), flushing debris, wound care, cleaning eyes, ears & vaginal.
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| show | used before applying new dressing, granulation tissue has formed.
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| Vaginal irrigation | show 🗑
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| show | flushes toxic chemical from one or both eyes, displaces dried mucous or other drainage, warm solution to body temp.
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| Ear irrigation | show 🗑
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| Heat uses | show 🗑
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| show | Reduces fevers, prevents swelling, controls bleeding, relieves pain, numbs sensation.
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| Cold application | show 🗑
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| Chemical packs | show 🗑
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| show | moist, warm, or cool cloth, appropriate temp, plastic wrap, remove excess moisture, gloves if applied to draining wound, aseptic surgical technique if open wound.
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| Aquathermia Pad (k-pad) 1 | show 🗑
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| show | Nurse responsibility, assess skin freq, remove device periodically, cover pad to prevent thermal skin damage, monitor Vs closely pt w/ altered body temp.
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| show | submerge body part to warm or apply medication, keep temp constant, never use pack on unresponsive or paralyzed pt, potential for burn, freq assessment, remove park periodically.
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| Therapeutic baths | show 🗑
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| Therapeutic baths2 | show 🗑
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| show | caused by prolonged capillary compression, resulting in impaired circulation to skin & underlying tissue, reddened area over bony prominence that doesn’t go back to normal color when pressure is released.
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| Pressure ulcer risk factors1 | show 🗑
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| Pressure ulcer risk factors2 | show 🗑
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| Pressure ulcers | show 🗑
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| Prevention of pressure ulcers | show 🗑
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| Pressure ulcers stage 1 | show 🗑
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| show | red, blistering.
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| show | shallow skin crater extends sq tissue, yellowing color of cells called slough.
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| Pressure ulcers stage 4 | show 🗑
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| Nursing diagnosis r/t wounds | show 🗑
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| show | wound healing delayed in older adults d/t diminished collagen, blood supply, decreased quality of elastin, dermal layer becomes thinner, decreased amt of sq tissue.
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| Gerontologic considerations 2 | show 🗑
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