Wound management
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show | *Hemostasis *Inflammatory Phase *Reconstruction Phase *Maturation Phase
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What happens during the hemostasis phase? | show 🗑
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show | initial increase in blood elements and water flow from the vessels to the vascular space.
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What happens during the reconstruction phase? | show 🗑
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What happens during the maturation phase? | show 🗑
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In which phase is collagen formed from fibroblasts to promote healing? | show 🗑
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show | *When wound edges are directly next to one another *Little tissue loss *MINIMAL SCARRING *Most surgical wounds heal by first intention healing *Wound closure is performed with sutures *staples, or adhesive at the time of initial evaluation
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What is the secondary intention wound healing method? | show 🗑
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show | *The wound is initially cleaned, debrided and observed, typically 4 or 5 days) before closure *The wound is purposely left open
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What are the three types of wound healing? | show 🗑
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Define Granulation: | show 🗑
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show | a painful condition resulting from the expansion or overgrowth of enclosed tissue (as of a leg muscle) within its anatomical enclosure producing pressure that interferes with circulation and adversely affects the function and health of the tissue itself.
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show | Passage or escape into the tissues, usually blood, serum, or lymph fluid.
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show | the parting of the sutured lips of a surgical wound.
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show | *Pain with pressure *Diminished sensation distal to the compartment area. *Diminished to absent extremity pulses distal to the injury
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List 3 S&S of internal bleeding | show 🗑
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show | True
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show | Evisceration
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What are the steps for a dry dressing change? | show 🗑
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What supplies do you need to do a dry sterile dressing change? | show 🗑
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How often do you change a wet to dry dressing? | show 🗑
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show | False. You do change the dressing at least every 12 hours, but you must NEVER let the dressing become dry before you change it.
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show | Body temperature
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List the steps for removing sutures | show 🗑
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show | *Serous *Sanguineous *Serosanguineous *Purulence
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show | 300ml
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What may cause a slight increase in drainage? | show 🗑
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show | Closed/Suction drain
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show | Jackson-Pratt drain
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show | Hemovac drainage system
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Give two examples of a closed drainage system | show 🗑
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show | *Each dressing change *Application of heat and cold therapies *Wound Irrigation *Stress to the wound site
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How often should the condition of dressings be inspected? | show 🗑
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show | *Potential for infection related to alteration in skin integrity *Alteration in comfort related to injury *Knowledge deficit related wound care
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show | *Reduced Size/Depth *Increase in granulation tissue *Free of signs and symptoms *Relief of pain
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