Special Topics
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Help!
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| 2 wound categories: | *Intentional *Non-intentional
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| Sx is a form of a _____ wound and Trauma or self infliction is a form of a ____ wound | *Intentional *non-intentional
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| Disrupts normal skin integrity: | Wound
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| Wound healing begins____ | immediately
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| Phases of wound healing: | *Inflammation *Debridment *repair *maturation
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| Plt's initiate healing though release of _____ | Growth factors
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| During Inflammation: | Blood vessels constriction for 5-10 min, then dilate to release clotting factors
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| Debridment phase is the removal of ____ and occurs _____ hours after injury | *necrotic tissue *6 hours
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| Exudate includes: | WBC's and fluid
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| Wound strength is __in the first 3-_ days | *minimal *3-5
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| Inflammation + debridment = | Lag phaase
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| Repair phase occurs ___- days after injury and lasts ___ days | *3-5days *17-20 days
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| New epithelium forms ___ days post injury if sutured ____ hrs of the injury | *4-5 days *24-48 hours
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| wound contraction occurs within ___ days | 5-9
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| maturation is the ______ of collegen fibers to increase ____ | *cross linking *strength
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| 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
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| After a scar forms the slin will be to __% normal | 80%
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| _____ is cushings dz and ____ is addisons Dz | *HYPERadrenocortism *HYPOadrenocortism
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| ___ ___ and ___ are all commonly used drugs that prolong healing | Aspirin, corticosteriods, NSAIDS
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| Types of wound healing: | 1st, 2nd and 3rd intention
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| 1st intention: | Suture wound
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| 2nd Intention: | Leave wound open
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| 3RD Intention: | Leave wound open initially and then suture at a later time
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| ___ and ___ act as FB and delay healing | Creams and powders
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| You can use __ to temporarily close a wound in clinic while prepping. | Towel clamps
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| Warm ____ or ___ are use to lavage wounds | Sterile saline or electrolyte solution
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| ___, __, and ___ are never added to flushing solutions | Soap, detergent, or Antibiotics
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| A water pick or __ml syringe __g needle can be use to lavage a wound | *35ml *19g
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| Refreshment/excise of edges is known as: | En bloc
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| removal of affected tissue in layers is known as: | Layered removal
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| Solutions that contain Trypsin are known as a form of _____ debridment and are a ___ method | *enzymatic *slow
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| sugar, honey and saline are all forms of ___ solutions that should be used ___ tissue is present | *Hypertonic *granulation
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| Types of wound closures: | *Primary *delayed primary *contraction/epithelialization *Secondary closure
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| Primary wound closure is __ intention healing and is also called____ | *1st *Appositional healing
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| Primary closure is the ___ where a wound is still considered clean is ___ hrs after injury | *Golden period *6-8
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| Delayed closure is ___ days after injury and before ___ tissue is formed | *1-3 days *granulation
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| Contraction and epithelialization is the _____ tissue ___ intention healing | *adhesion of granulation tissue *2nd intention
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| Deglovings are common in ___ injuries and will heal by ___ intention | *HBC *2nd intension
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| Secondary wound closures are sutured at ___ days when _____will not completely close the wound | *3-5 Days *epithelial & contraction
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| Secondary wound closure is __ intention healing | 3rd intention
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| In wound with questionable ____ or ___ should remain open | Blood supply or Dead space
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| Disturbance of epidermis or exposure of deep dermis: | Abrasion
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| Bandaging must include: | *Semiocclusive primary layer *change every 3-4 days *maintained until cover with epithelial tissue
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| Sharp incised edges: | Laceration
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| Tissue that is torn away: | Avulsion
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| Lacerations are still considered clean and can be sutured within ___ hours with ____ | *12hrs *debridment
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| If there is questionable blood supply you should: | Leave the wound open
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| survival rate of a burn victim with >50% is _____ | rare
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| 1st degree burn: | Superficial epidermis
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| 2nd degree burn: | all layers of the dermis, blisters
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| 3rd degree burn: | Full thickness/ all layers/leathery
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| 4th Degree burns: | full thickness/ involves dermis/ SQ and muscle
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| Metabolic intake of burn victim may increase up to __% | 200%
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| ____ is the key to avoiding decubital sores, by turning the patient every ___ hr | *Prevention *4
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brit_2112
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