Exam2 (skin Integrity) Flashcards
(41 cards)
1
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7:02 M
A
2
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Exam 3
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3
Q
Done
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4
Q
Ch 29 Shin Integrity and wound Care
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5
Q
Factors aftecting skin integrity
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6
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Vascular disease
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7
Q
Diabetes
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8
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Malnutrition
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9
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Aging
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10
Q
Medical adhesive-related shin injuries
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11
Q
Altered Structure and Function.
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12
Q
- wound classification
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13
Q
open wound abrasion
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puncture wounds
14
Q
Closed wound brusing
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skin intact
15
Q
Wound Depth
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16
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- Superficial epidermis
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17
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*Partial -thickness epidermis
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dermis. (Heal quickly
18
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- Full- thickness dermis to subcutancous
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may extend to muscle
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(leaves scar)
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20
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Amount of Contamination
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21
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- Clean no infection
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Low risk
22
Q
- Clean contaminatea surgery involves organs that may contain
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23
Q
bacteria then risk of infection is higher.
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24
Q
-Contaminated break in sterile technique. Higher risk.
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25
-Infected Sx ot infection redness
warmth
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105 bacterial count.
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-Colonized one or more organisms present on swab culture of wound
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Healing process
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1. Acute rapid
uncomplicated wounds that can be approximated ledges of
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wounds can be brought together). Healed by primary intervention
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2. Chronic healing progress fails. Jecond intervention
new tissue must be
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filled from the bottom and sides. Associated w| Diabetes
vascular discase.
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3. Tertiary intervention wounds left open for observation
when
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danger of infection t
edges may be pulled together to achieve closure.
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Phases of Healing
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Inflammatory 3 days. Formation of clot. Increase in pain
redness
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warm
swelling. Process of cleaning bacteria and debris.End of phase
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wound is clean
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of new blood vellies agogenes i goalaas pro is green ment
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Granulation tissue is belty red
bumpy texture. Moist wound bed essential
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for epithelial cells to promote healina.
