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Integumentary 313-327 Flashcards

1
Q

Erythema

A

Diffuse redness if the skin from capillary dialation and congestion or inflammation

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2
Q

Ecchymosis

A

Discoloration occuring below intact skin from trauma to underlying blood vessels and blood seeping into tissues

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3
Q

Desiccated

A

Drying out or dehydration of a wound

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4
Q

What is hyperkeratosis

A

Callus

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5
Q

Deep partial-thickness burn

A

Complete destruction of epidermis

Majority of dermis

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6
Q

What is a laceration

A

Wound or irregular tear of tissue associated with trauma

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7
Q

What is an unstageable pressure ulcer

A

Full-thickness loss which base of ulcer is covered by slough in the wound bed

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8
Q

Monofilament testing is to see if the patient is at risk for developing

A

A neuropathic ulcer

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9
Q

Superficial partial-thickness burn

A

Epidermis and upper dermis

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10
Q

When would sharp debridement be used

A

Wounds with large amounts of thick, adherent, necrotic tissue

Cellulitis or sepsis

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11
Q

Indications for hydrogels

A

Superficial and partial-thickness wounds that have minimal drainage

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12
Q

What is primary intention

A

Smooth clean edges are reapproximated with sutures, stitches, or staples to facilitate re-epithelialization

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13
Q

Dehiscence

A

Separation of a wound closed by primary intention

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14
Q

What is a subcutaneous wound

A

Extends through integumentary tissues

Involve fat, muscle, tendon, bone, etc

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15
Q

What is stage 2 ulcer

A

Partial thickness tissue loss of dermis presents as shallow open ulcer with red or pink wound bed

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16
Q

Friable

A

Skin that rapidly tears when palpate

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17
Q

Zone of hyperemia

A

Has inflammation, but will fully recover without intervention

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18
Q

What is eschar

A

Hard or leathery, black/brown dehydrated tissue that is firmly attached to the wound bed

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19
Q

Different from arterial insufficiency ulcers, what should be done to the legs for venous insufficiency ulcers

A

Elevate legs above heart when sleeping

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20
Q

Indications for negative pressure wound therapy

A

Wounds that can’t be closed by primary intention

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21
Q

Healing for superficial partial-thickness burn time

A

5-21 days

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22
Q

Tertiary healing is AKA

A

Delayed primary intention

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23
Q

Indications for hydrocolloids

A

Partial and full-thickness wounds

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24
Q

What is an abrasion

A

Wound caused by friction and shear, scraping away superficial surfaces

25
Q

Wounds that are infected or have loose debris call for

A

Wound irrigation/pulsatile lavage

26
Q

Zone of coagulation

A

Area of burn that is most severe and has irreversible damage

27
Q

The Wagner Ulcer Classification system is for

A

Diabetic foot ulcers

28
Q

Hematoma

A

Localized swelling or mass of clotted blood confined to a tissue, organ, or space caused by a break in blood vessel

29
Q

What kinds of wounds heal with secondary intention

A

Significant tissue necrosis

Irregular wound margins that can’t be reapproximated

Infection

30
Q

Should autolytic debridement be used for infections

A

NOPE

31
Q

Superficial burn

A

Only outer epidermis

32
Q

Subdermal burn

A

Complete epidermis

Complete dermis

Complete subcutaneous tissue

33
Q

In tertiary healing, what happens when risk factors have been alleviated

A

Primary intention healing

34
Q

What is a partial thickness wound

A

Through epidermis and possibly into (but not through) dermis

35
Q

What is a superficial wound

A

Epidermis intact

Non-blistering sunburn

36
Q

Healing by xxxxx intention permits wounds to close on their own without superficial closure

A

Secondary intention

37
Q

Zone of stasis

A

Less severe injury with reversible damage

38
Q

Healing for deep-partial thickness burns

A

21-35 days

39
Q

What should be avoided with arterial insufficiency ulcers

A

Unnecessary leg elevation

40
Q

How does venous insufficiency and or lymphedema contribute to wound healing and why

A

They slow it down

because

increased tissue pressure from excessive edema impacts perfusion and removal of cellular waste (decreased O2)

41
Q

What does seropurulent exudate look like

A

Cloudy or opaque, with yellow or tan color and thin watery consistency

42
Q

Is the dermis vascularized

A

Yes

43
Q

What is wet-to-dry dressing

A

Application of moistened gauze over necrotic tissue

Dressing dries and then is removed along with necrotic tissue adhered to gauze

44
Q

What is stage 1 pressure ulcer

A

Intact skin with non-blanchable redness of localized area over bony prominence

45
Q

How often should someone with a pressure ulcer be repositioned

A

Every 2 hours

46
Q

What is slough

A

Moist, stringy, or mucinous, white/yellow tissue that tends to be loosely attached in clumps to the wound bed

47
Q

How long does it take to heal a superficial burn

A

2-5 days

48
Q

Wounds deeper than xxx are considered full thickness

A

4mm

49
Q

The Braden Scale is for

A

Pressure ulcers

50
Q

What is gangrene

A

Death and decay of tissue resulting from interruption in blood flow to an area of the body

51
Q

What is seropurulent exudate indicative of

A

Impending infection and is ALWAYS abnormal

52
Q

Full thickness burn

A

Complete destruction of epidermis

Complete destruction of dermis

Partial damage of subcutaneous fat

53
Q

Disquamation

A

Peeling or shedding of outer layers of the epidermis

54
Q

What is a full thickness wound

A

Through dermis

Into subcutaneous fat

55
Q

Three zones of injury

A

Coagulation

Stasis

Hyperemia

56
Q

For arterial insufficiency ulcers, are heating pads used

A

No

57
Q

What kinda of wounds are healed with tertiary intention

A

Wounds that can develop sepsis or dehiscence

58
Q

When can an unstageable pressure ulcer be staged

A

When slough is removed

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