color, drainage, edges Flashcards

1
Q

define sanguineous

A

thin, bright red

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2
Q

define serosanguinous

A

thin, watery, pale red to pink

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3
Q

define serous

A

thin, watery, clear

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4
Q

define purulent

A

thick or thin, opaque tan to yellow
means infection

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5
Q

define foul purulent

A

thick opaque yellow to green with bad odor

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6
Q

talk about scant

A

wound tissue moist
no measurable drainage

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7
Q

define small drainage

A

wound tissues very moist
drainage <25% dressing

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8
Q

define moderate drainage

A

wound tissues wet
drainage involves 25-75% dressing

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9
Q

define large drainage

A

wound tissues fill w fluid
involves >75% dressing

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10
Q

what kind of wounds have even edges

A

arterial

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11
Q

what kind of wounds have irregular edges

A

venous
may occur as wound epiheliazies

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12
Q

talk about rolling edges

A

-signs of a halted healing process
-cells and unable to reproduce
-rolled edge is termed epibole

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13
Q

talk about hyperkeratosis

A

-overdevelopment of horny layer of skin
-appears as thick skin around edge of wound or as callus

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14
Q

talk about maceration

A

-result of too much moisture on skin for too long
-can slow healing process
-creates high risk for infection and for wound to get bigger

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15
Q

talk about dehisced wound

A

-wound edges come apart
-may be superfiical only
or can open full depth

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16
Q

define deep pain

A

cramping, indicative of ischemia or hypoxia, more comfortable in dependent position

17
Q

define throbbing, localized pain

A

indicative of infection
-deep pain that increases w pressure may be osteomyeltitis

18
Q

define superficical tenderness

A

exposed nerve endings, may also have sharp shooting pain

19
Q

deinfe pain with stimulation of red tissue

A

living muscle

20
Q

how do you test arterial

A

-pulses
-doppler
-ABI

21
Q

what are indications for a wound culture

A

-local signs of infection
-systemic signs of infection
-elevated glucose
-pain in neuropathic extremity
-lack of healing after 2 weeks