Lisa Luiz Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
wounds | damaged skin or soft tissue resulting from trauma |
open wound | incision, lac, abrasion, avulsion, ulceration, puncture |
closed | contusion |
three phases of wound repair | inflammation, proliferation, remodeling |
purpose of inflamation | limit local damage, remove injured cells and debris, prepare wound for healing |
characteristics of proliferation | appearance of granulation tissue |
process of proliferation phase | new cells fill and seal wound, fibroplasts produce collagen, skin integrity restored by resolution, regeneration, scar formation |
when does proliferation occur? | 2 days to three weeks AFTER inflammatory phase |
remodeling phase | Contraction of wound and shrinkage of scar |
how long does remodoling last? | 6 months to 2 years |
what are the factors affecting wound healing? | Type of injury, Expanse or depth of wound, quality of circulation, amount of debris, presence of infection, health status, age, mobility |
first inention wound healing | wound edges approximated |
Second intention wound healing | wound edges widely spaced |
third intention wound healing | wound edges widely spacd, later closed by device |
What is the purpose of a dressing? | keep wound clean, absorb drainage, control bleeding, protect from further injury, hold med in place, maintain moist environment |
Gauze dressing | woven, cloth fibers, highly absorbant |
transparent dressing | allow wound assesment without removal, non absorbant |
hydrocolloid | self adhesive, air and water occlusive, opague |
what is a wound drain? and why do we use them? | Tubes that remove blood and drainage from wound to promate healing |
what is an open drain? | flat, flexible tube that provides pathway for drainage to dressing |
what is a closed drain? | pulls fluid by vacuum, has neg pressure, terminates into receptacle |
suture | knotted ties from silk or nylon |
staples | wide metal clips |
debridement | removal of dead tissue |
complications of wound healing | hemmorage, infection, dehiscence, evisceration |
serous | inflammatory material composed of serum (clear portion of blood) derived from the blood and serous membranes of the body such as the peritoneum, pleura, pericardium, and men-inges; watery in appearance and has few cells |
purulent | an exudate consisting of leukocytes, liquefied dead tissue debris, and dead and living bacteria |
sanguineous | an exudate containing large amounts of red blood cells |
dehiscence | the partial or total rupturing of a sutured wound; usually involves an abdominal wound in which the layers below the skin also separate |
evisceration | extrusion of the internal organs |
stage 1 pressure ulcer | skin intact, reddened |
stage ll pressure ulcer | partial thickness, red blistering or skin tear |
stage lll pressure ulcer | full thickness, tissue loss to subcutaneous tissue |
stage lv pressure ulcer | full thickness, to muscle or bone |
risk factors/pressure uclers | decreased mobility, edema, incontinence, decreased mental status,, decreased sensation, increased body heat, increased age |
keloid. | a hypertrophic scar containing an abnormal amount of collagen |
Serous exudatev | inflammatory material composed of serum (clear portion of blood) derived from the blood and serous membranes of the body such as the peritoneum, pleura, pericardium, and men-inges; watery in appearance and has few cells |
Suppuration | the formation of pus |
Shearing force | a combination of friction and pressure which when applied to the skin results in damage to the blood vessels and tissues |
Irrigation (lavage) | flushing or washing-out of a body cavity, organ, or wound with a specified solution |
Hemostasis | cessation of bleeding |
Granulation tissue | young connective tissue with new capillaries formed in the wound healing process |
Hypoproteinemia | small amounts of protein in the blood plasma |
Collagen | a protein found in connective tissue; a whitish protein substance that adds tensile strength to a wound |
Hematoma | a collection of blood in a tissue, organ, or space due to a break in the wall of a blood vessel |
An open wound with jagged edges and the tissue torn apart is called a(n): | laceration |
A client’s open wound is described as clean-contaminated. What does this mean? | The wound is surgical and without inflammation. |
Which of the following actions would place a client at the greatest risk for a shearing force injury to the skin? | sitting in Fowler’s position |
Why is a client with fever predisposed to pressure ulcers? | Metabolism increases, and the cells need more oxygen. |
A client has a pressure ulcer that is healing by secondary intention. Which of the following findings would be unexpected? | rapid healing |
A client’s wound is covered with ____________, or dried plasma proteins and dead cells. | eschar |
A client’s wound is draining thick yellow material. The nurse correctly describes the drainage as: | purulent. |
The nurse needs to keep a client’s wound covered with a thin layer of petrolatum. Which type of dressing would be most effective? | impregnated nonadherent dressing |
A client has an open wound with healthy granulation tissue and scant drainage. The wound is being cleaned bid. The nurse should write an order to: | clean the wound once a day |
When bandaging a client’s foot the nurse should: | work from distal to proximal. |
normal blood osmularity | 290 |
Fluid volume deficit (hypovolemia) | an abnormal reduction in blood volume |
Fluid volume excess (hypervolemia) | an abnormal increase in the body's blood volume; circulatory overload |
Hypercalcemia | an excess of calcium in the blood plasma |
Hyperchloremia | an excess of chloride in the blood plasma |
Hyperkalemia | an excess of potassium in the blood plasma |
Hypernatremia | an excess of sodium in the blood plasma |
Hypokalemia | deficiency of potassium in the blood plasma |
Metabolic acidosis | a condition characterized by a deficiency of bicarbonate ions in the body in relation to the amount of carbonic acid in the body, in which the pH falls to less than 7.35 |
Obligatory loss | the essential fluid loss required to maintain body functioning |
Respiratory alkalosis | a state of excessive loss of carbon dioxide from the body |
ph | a measure of the relative alkalinity or acidity of a solution; a measure of the concentration of hydrogen ions |
Oncotic pressure | pulling force exerted by colloids that help maintain the water content of blood |
Intravascular fluid | plasma |
Intracellular fluid (ICF) | fluid found within the body cells, also called cellular fluid |
Interstitial fluid | fluid that surrounds the cells, includes lymph |
Anion | ion which carries a negative charge; chloride, bicarbonate, phosphate, sulfate |
Active transport | movement of substances across cell membranes against the concentration gradient |
Transcellular fluid includes fluid: | in the cerebrospinal, pleural, and peritoneal spaces. |
What are two principal electrolytes found in intracellular fluid? | potassium and phosphate |
body fluids | all liquids contained within the body |
homeostasis of fluids | required for optimal functing of the body, balance between fluids and electrolytes |
percentage of body fluids at age 1 | male 64%, female 64% |
Percentage of body fluids at age 13-39 | Male 60% Female 55% |
Percentage of body fluids at age 40-60 | Male 55% Female 47% |
Percentage of body fluids over age 61 | Male52 % Female 46% |
Why do men have more water in their body? | They have less adipose |
effect of resp rate on fluid loss | 22-26 rpm causes fluid loss to go up by 200 cc |
insensible fluid loss | Comes from breathing, talking, and sweat |
sensible fluid loss | Fluids that can be measured and include urine, vomit, and stools. Fluid can be measured |
Non-electrolytes | Substances that DO NOT break down. |
cations | positively charged electrolytes including Potassium, Sodium, calcium and magnesium |
Anions | Neg charged electrolytes including chloride, phosphate and bicarbonate |
main compartments | Intracellular fluids, extracellular, and transcellular |
Intracellular fluid | Fluid found within the cells and makes up 2/3 the bodys fluid |
Extracellular fluid | divided into 2 groups, Intercistitial and intravascular. |
Percentage of extracellular fluid | 20% |
Intercistial fluids | found between cells, includes lymph and cerebrospinal fluids-found in blood |
Intravascular fluid | makes up 5% volume and is found within plasma |
what is the only fluid volume directly affected by fluid intake and excretion | intravascular |
Chem 7 | CO2, Sodium, Glucose, Phosphate, and magnesium |
Mild fluid loss | Deficit of 5% loss |
Moderate fluid loss | 10% loss |
Severe Fluid loss | 15% fluid loss |
signs of fluid loss deficits | Thirst, Vertigo, syncope, disorientation, weak pulse, nausea, vomiting, cardiac output, weight loss |
causes of fluid loss deficits | GI disfunction, diarrhea, renal disfunction, poor oral intake, diabetes insipidus, endocrine dysfunction, neurological dysfunction, fever |
signs of fluid loss | dry skin, sunken eyes, postural hypertension, elevated BUN,Creat, Dry mucos membranes, prolong tugor, |
Where should you assess turgor | over forehead or sternum |
Created by:
lisaluiz
Popular Nursing sets