48 - wound care Flashcards Preview

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Flashcards in 48 - wound care Deck (17)
1

what to do for laceration

1. Hx and Phx
2. clean
3. close
4. analgesia
5. dress
6. discharge instruction

2

4 factors that increase likelihood of infection

1. type of injury
- crush, deep, contaminated
2. location
- lower extremity more common
3. time of presentation
4. med Hx
- diabetes, immunocompromised

3

3 keys to good Phx

1. lighting
2. analgesia
3. hemostasis

4

what to look for

1. deep structures
2. distal neuro
3. vascular
4. motor

5

main method of analgesia

lidocaine with or without epi

6

4 regions not to use epi

fingers, nose, penis, toes

7

2 topical anesthetics

1. LET - lido, epi, tetracaine
2. EMLA - mix

8

methods of cleansing

- clip hair down
- vaseline hair
- chlorhexidane
- irrigation at 7psi or more

9

3 times of closure

primary - 8-12 hours, 24 for face
secondary - leave open and allow to heal
- for late or infected
delayed - leave open for 4-5 days, then close

10

4 main methods to close

1. suture
2. staples
3. tapes
4. adhesives

11

size of suture and time for face, scalp, limb, trunk, joint

face 5-0 or 6-0, 5 days
scalp 4-0, 7-10
limb 4-0, 10-14
trunk 4-0 or 3-0, 7-14
joint 4-0 or 3-0, 14

12

when to prescribe Abx

not normally
- immunocompromised
- crush
- joints
- mammal bites

13

who needs tetanus

10 yrs - yes
incomplete - YES

14

2 types of dressing

1. transparent cover
2. absorpative foam if expect more juices

15

main discharge instructions (4)

1. cleansing
2. timing of suture removal
3. signs of infection
4. expected cosmetic results

16

how long to leave on dressing

24 hours

17

how to cleanse

soap and water