Wound Bed Preparation

Question 1

What term describes microbes present in a wound that are proliferating and spreading to invade the surrounding tissue?

Answer 1

Spreading infection

Question 2

What term describes microbes present in a wound that undergo limited proliferation but neither cause a host response nor delay wound healing?

Answer 2

Colonization

Question 3

What are currently accepted methods of mechanical debridement?

Answer 3

Scrubbing, irrigation, and low-frequency ultrasound

Question 4

What is autolysis?

Answer 4

A natural process by which leukocytes and proteolytic enzymes that enter the wound during the inflammatory phrase digest NONVIABLE tissue and debris from the wound bed.

Question 5

What are the common diagnostic tests used to identify the presence of osteomyelitis?

Answer 5

ESR, CRP, plain radiographs, bone scan, MRI

Question 6

How is moisture balance in the wound maintained?

Answer 6

By absorbing excess exudate and maintaining a moist wound environment.

Question 7

What are the contraindications for use of biological debridement?

Answer 7

• Allergies to brewers yeast, fly larvae, soy proteins
• wounds with vital organs or exposed blood vessels
• wounds likely to communicate with the CNS
• wounds with poor perfusion or require frequent inspection
• acute infection that are limb or life threatening
• wounds with necrotic bone or tendon