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Flashcards in Early wound management Deck (42):
1

4 of Wilsons remote recomendations

Restrict movement
garden hose lavage
control hemorrhage
attend the case if there is a suspect fracture

2

4 of Wilsons remote recomendations

Restrict movement
garden hose lavage
control hemorrhage
attend the case if there is a suspect fracture

3

2 parts of initial patient assessment?

Systemic assessment
wound assessment

4

3 big systemic systems to assess/

Cardiovascular
respiratory
BCS

5

What is the golden period

6

3 forms of wound assessment

visual exam
digital exam
diagnostic imaging

7

4 parts to a visual exam

location
extent
age
condition

8

For a digital exam you should probable do what 3 things?

Sedate
Sterile lube in the wound
Clip and prep

9

Objective of a digital exam?

Explore the wound and the involved structures

10

main goal if diagnostic imaging?

Assess the bone!

11

3 goals of wound debridement?

Remove contamination
remove devitalized tissue
eliminate infection

12

3 forms of debridement

Sharp dissection
Curettage
irrigation

13

What is the ideal pressure for wound lavage?

7 psi

14

3 types of lavage instruments?

garden hose
syringe
pulsavac

15

2 properties lavage solutions should ideally have?

Nonirritating
bactericidal

16

4 examples of lavage solutions

saline
lactated ringers
providone iodine
chlorohexidine

17

How does provodone iodine function at 1% 0.5%?

1% - bactericidal and non irritating
>0.5% - histotoxic and inhibits neutrophil migration

18

With 1% solution of provodone iodine you should use?

1:10 dilution

19

When does chlorohex become histotoxic? bactericidal?

0.02
0.05

20

What dilution for chlorohex should be used for the 0.05% solution

1:40

21

What are 3 other lavage solutions that can be used

Chlorohecidine TrisEDTA (0.0005%) (can be used in synovial structures)
0.25% neomycin
0.1% gentocin

22

3 places where antibiotics should be used in wounds?

Cellulitis
open synovial structures
severe muscle injury

23

2 parts of initial patient assessment?

Systemic assessment
wound assessment

24

3 big systemic systems to assess/

Cardiovascular
respiratory
BCS

25

What is the golden period

26

3 forms of wound assessment

visual exam
digital exam
diagnostic imaging

27

4 parts to a visual exam

location
extent
age
condition

28

For a digital exam you should probable do what 3 things?

Sedate
Sterile lube in the wound
Clip and prep

29

Objective of a digital exam?

Explore the wound and the involved structures

30

main goal if diagnostic imaging?

Assess the bone!

31

3 goals of wound debridement?

Remove contamination
remove devitalized tissue
eliminate infection

32

3 forms of debridement

Sharp dissection
Curettage
irrigation

33

What is the ideal pressure for wound lavage?

7 psi

34

3 types of lavage instruments?

garden hose
syringe
pulsavac

35

2 properties lavage solutions should ideally have?

Nonirritating
bactericidal

36

4 examples of lavage solutions

saline
lactated ringers
providone iodine
chlorohexidine

37

How does provodone iodine function at 1% 0.5%?

1% - bactericidal and non irritating
>0.5% - histotoxic and inhibits neutrophil migration

38

With 1% solution of provodone iodine you should use?

1:10 dilution

39

When does chlorohex become histotoxic? bactericidal?

0.02
0.05

40

What dilution for chlorohex should be used for the 0.05% solution

1:40

41

What are 3 other lavage solutions that can be used

Chlorohecidine TrisEDTA (0.0005%) (can be used in synovial structures)
0.25% neomycin
0.1% gentocin

42

3 places where antibiotics should be used in wounds?

Cellulitis
open synovial structures
severe muscle injury