Lacerations Flashcards Preview

Skin MS: Week 3 > Lacerations > Flashcards

Flashcards in Lacerations Deck (16)
Loading flashcards...
1
Q

Top 6 History Questions one should ask:

A
When injury occurred 
Cause of injury
Where the injury occurred (i.e. farm, etc)
Other injuries
Medications
Other health problems
2
Q

Top 7 Wound Complications

A
Infection
Irregular closure
Dehiscence
Contact dermatitis
Suture reaction
Keloid formation
Necrosis
3
Q

In examining a wound, what are the top 8 physical exam components?

A
Depth
Edges
Circulation
Nerve Injury
Tendon injury
Foreign body
Fracture
Orientation
4
Q

Top 7 methods of closing a wound

A
Nonabsorbable
Staples
Glue
Tape
Absorbable sutures
Secondary closure
Hair tie
5
Q

What would you do with a bleeding wound?

A

Direct pressure

6
Q

Contraindications to primary wound closure

A

infected/inflammed
Serious crush injuries
Too long after injury (face w/in 24 hrs, body w/in 18) - 6 preferred

7
Q

TAC

A

Tetracaine epinephrine cocaine - traditional but has cocaine in it

8
Q

LET

A

lidocaine, epinephrine, tetracaine -safer

9
Q

EMLA

A

eutectic mixture of local anesthetic - requires occlusion, 90 minutes to work

10
Q

Most likely to cause allergic reaction?

Lidocain, mepivicaine, procainamide, bupivacaine

A

procainamide (also for arrythmia) - an ester

11
Q

how to inject local anesthetic

A

through sides of wound edges into adjacent tissue
buffered
slowly
small needles

12
Q

Narcotics

A

Parenteral - morphine, hydromorphone, fentanyl

Oral - hydrocodone and oxycodone

13
Q

Benzodiazepine

A

Lorazepam (ativan), medazolam (versed) - amestic

14
Q

Dissociative

A

Ketamine (LSD-like)

15
Q

Three common suture techniques

A

interrupted, continuous, subcuticular

16
Q

Sutures out in _____ days for
facial
most places
areas of strain

A

3-5 days facial
10-12 days most places
10-14 over areas of strain

**Tape for total of 12 weeks, occlusive covering