wound care LGW Flashcards
what is the first line management in a trauma patient with a large external hge ?
control external hge first before airway
apply pressure and pads
if this fails tie a tourniquet proximal to the injury
what are the 5 regions that can be assessed using FAST ?
pericardial view
right flank view
left flank view
pelvic.view
morison pouch ?
right upper quadrant
the hepatorenal pouch
how would you manage the foot iff there is no internal organ damage ?
irrigation with saline and betadine
followed by debridement of the non viable necrotic tissue
what is the management in cases of small raw areas ?
split thickness skin graft may be used primarily
what is the management in cases of large raw areas ?
antibiotic creams and sprays
wound vacuum assisted closure VAC
other term for bed sores ?
pressure sores
decubitus ulcers
what is the staging system for decubitus ulcers ?
stage 1 - skin intact with non- blanchable erythema
stage 2 - partial thickness skin loss involving the epidermis and the dermis
stage 3 - full thickness skin loss reaching the subcutaneous tissue but not the fascia
stage 4 - reached the fascia
in which stage of decubitus ulcers might it be foul smelling ?
stage 3
what is the best prophylaxis for decubitus ulcers ?
regularly moving
what kind of dressing can be used in order to protect from pressure ulcers ?
hydrocolloid dressing
alginate dressing
what is the general management associated with decubitus ulcers ?
local antibiotics
systemic antibiotics for high risk patients
what if the general approach and management did not aid in stopping the development of these ulcers ?
debridement of necrotic tissue
what is the management for grade 3 or 4 decubitus ulcers ?
surgery - using a skin flap
post abdominal surgery and the patient felt pain in the midline incision after coughing - what’s the diagnosis ?
abdominal wall dehiscence
