Inflammation, Wounds, and Pressure Ulcers part 5 Flashcards Preview

Test 3 > Inflammation, Wounds, and Pressure Ulcers part 5 > Flashcards

Flashcards in Inflammation, Wounds, and Pressure Ulcers part 5 Deck (15)
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1

What are the complications of wound healing?

infection
hemorrhage
fistula
dehiscence
evisceration

2

What are factors that delay wound healing?

-advanced age
-anemia
-corticosteroid drugs
-diabetes
-inadequate blood supply
-infection
-mechanical friction on wound
-nutritional deficiencies (vitamin C, protein, zinc)
-Obesity
-poor general health
-smoking

3

What are the factors that would make you think a wound was infected?

-Increased purulent drainage
-pain, erythema (beyond wound margins), swelling
-increased temperature
-increased WBC
-2 to 7 days after the injury or surgery

4

What causes complications of a wound hemorrhage?

-slipped suture
-dislodged clot
-infection or erosion of blood vessel

5

How do you treat a wound complication like hemorrhage?

-check frequently after surgery
-pressure dressing
-packing
-IVF replacement or surgery to treat

6

What will a hemorrhage cause if hematoma is present?

ischemia (deficiency of blood to an area)

7

Abnormal passage from an internal organ or vessel to outside of the body or from one internal organ or vessel to another

Fistula

8

An infection developed to an abscess

Fistula

9

What does a fistula increase the risk of?

-delayed wound healing
-additional infection
-skin breakdown
-electrolyte imbalance

10

Partial or total separation of wound layers
“Something has suddenly given way.”

Dehiscence

11

What is dehiscence caused by?

Infection
Granulation tissue not strong
Obesity
Pocket of fluids

12

Extrusion of viscera intestine through a surgical wound.

Evisceration

13

The abdominal wound completely separates protrusion of viscera (internal organs) through incisional area.

Evisceration

14

What type of wound complication is a medical emergency?

Evisceration

15

What is the treatment for Evisceration?

-low fowlers
-cover abdominal contents and keep exposed viscera moist
-do not leave patient alone
-provide reassurance
-keep NPO
-IV pain meds as needed
-notify surgeon and PCP immediately