2 Wound Care Flashcards Preview

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Flashcards in 2 Wound Care Deck (21):
1

primary intention

wounds without tissue loss

- edges approximated
- low infection risk
- heals quickly
- dry or no dressing
Ex: surgical incision

2

secondary intention

wounds with tissue loss

- edges not approximated (partial thickness, full thickness)
- high infection risk
- heals slowly
- wet to dry dressing
Ex: pressure ulcer, burn, severe injury

3

tertiary intention

wounds in which closure is purposefully delayed

- moderate risk for infection
- moderate scar
- heals quickly once closed
- dressing moist when open, dry when closed (open to allow moisture into wound)
Ex: contaminated wound, traumatic injury

4

full-thickness wound repair: inflammatory

- triggered by trauma
- increased blood flow, edema, serous exudate
- 24 hours after injury

5

full-thickness wound repair: proliferative

epithelialization
- collagen scar formation
- 3 to 24 days after injury

6

full-thickness wound repair: remodeling

collagen scar strengthens
- tensile strength of skin never 100% again
- scar goes from red to white
- may last > 1 year

7

full-thickness wound repair (3 phases)

inflammatory
proliferative
remodeling

8

dehiscence

separation of epidermis and dermis

9

evisceration

full thickness separation with protrusion of organs

10

assessment (ABCDE)

A pproximate size & depth
B ody location
C olor (wound bed, surrounding tissue)
D rainage (amount, color, odor)
E dges (approximation, skin surrounding, drain)

11

fistula

opening between an organ and outside or between two organs

12

HELPR LF

H eat
E dema
L oss of Function
P ain
R edness

L eukocytosis ( > 10k)
F ever

13

sanguinous

fresh bleeding

14

serosanguinous

thin, watery, pale red (blood & plasma)

15

serous

clear, thin, watery (plasma)

16

purulent

thick, opaque, tan/yellow/green/brown

17

medical asepsis

reduction of microorganisms

18

sterile asepsis

absence of all microorganisms

19

gravity drain

penrose

20

self-suction drain (x2)

- JP drain
- hemovac

21

mechanical suction drain

wound vac

Decks in Undeleted Class (79):