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KCI New Hire Training > New Hire Test 2 > Flashcards

New Hire Test 2 Flashcards

(56 cards)

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1
Q

Regarding wound healthing, what phases is VAC appropriate for?

A

Phases 2 & 3 regarding wound healing.

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2
Q

6 Characteristics of Hemostasis

A
  1. Platelet Aggregation
  2. Vasoconstriction
  3. Chemostatic factors
  4. Growth promoting substances
  5. Fibrin clot
  6. Usually starts within 60min
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3
Q

5 Characteristics of Inflammation

A
  1. Release of prostaglandin
  2. vaso-active substances
  3. leukocytes
  4. proteolytic enzymes
  5. Usually starts withing 20min to 4 days
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4
Q

4 Characteristics of Proliferation

A
  1. Begins within 3 to 21 days
  2. Granulation
  3. Contraction
  4. Re-epithelization begins
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5
Q

3 Characteristics of Remodeling

A
  1. Usually begins within 21days to 2years
  2. 30%-50% Tensile strength within 2-3weeks
  3. 80% Tensile strength within 3mo - 1year
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6
Q

Dehydrated thick leathery tissue (black, grey)

A

Eschar

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7
Q

Hydrated, loose, stringy nectrotic tissue (usually yellow)

A

Slough

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8
Q

3 Characteristics of Chronic wounds

A
  1. Older than 30 days
  2. Stuck b/t inflammation and proliferation stages (moving between the two)
  3. May be considered Chronic b/c of etiology
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9
Q

What 3 things come in the Simplace kit?

A
  1. Spiral Dressings (2 thinner pieces)
  2. 3M Tegaderm Drape
  3. Sensa-Trac pad
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10
Q

_____ is a characteristic of the bridge dressing?

A

Z-Fold

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11
Q

_____ is on the bottom of bridge dressings and it protects skin from maceration.

A

Wicking Layer

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12
Q

What are the components of the VAC therapy system?

A
  1. Therapy Unit
  2. Foam
  3. Sensa-TRAC pad
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13
Q

Whats the pressure setting for the Acti-Vac/Info-Vac?

A

25mmHg - 200mmHg

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14
Q

3 Key features of Acti-Vac/Info-Vac?

A
  1. Seal Check
  2. Setting Guide
  3. Therapy History Report
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15
Q

2 Key features of SENSA-TRAC

A
  1. Allows accurate pressure setting at wound site

2. Provides smart alarm

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16
Q

4 Benefits of SENSA-TRAC

A
  1. Enhanced patient comfort
  2. Reduced tubing blocks and alarms
  3. Improved TRAC pad
  4. Maintain compatibility with current therapy units.
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17
Q

4 Categories of Bio-Burdens?

A
  1. Contamination
  2. Colonization
  3. Critical Colonization
  4. Infection
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18
Q

3 characteristics of contamination?

A
  1. Non-replication microbes
  2. Body’s natural Flora
  3. Healing not inhibited
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19
Q

3 characteristics of colonization?

A
  1. replicating microbes
  2. no host reaction
  3. generally body can defend
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20
Q

3 characteristics of critical colonziation?

A
  1. overgrowing microbes
  2. bacterial enzymes and toxins
  3. delayed healing
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21
Q

3 characteristics of infection?

A
  1. invasion
  2. systemic reaction
  3. healing impaired
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22
Q

Signs of Infections?

A 
(IFFE)
Induration (hardening of the skin)
Fever (greater than 100.5)
Edema (swelling due to fluid)
Erythema (redness of the skin)
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23
Q

3 most common causes of infections?

Study These Flashcards
A
  1. Bacteria (most common of all 3)
  2. Fungi
  3. Virus
24
Q

2 Characteristics of Bacteria

Study These Flashcards
A
  1. Aerobic vs Anaerobic

2. Gram strain (Gram + vs Gram - )

25
2 Characteristics of Fungi
1. Single cell (yeast) | 2. Multi-cellular (molds or mushrooms)
26
2 Characteristics of Viruses
1. Exists to reproduce and take over host cell | 2. Rarely associated with wound infections
27
Silver (In-Vitro) has been shown to be effective against which of the 3 most common causes of infections?
All of them if In-Vitro
28
___% of pathogens were elimated within the first 30minutes with Silver GranuFoam
99.9%
29
Silver Ions with GranuFoam are released up to ___hours @ ___?
72hours | @ 3ppm (parts per million)
30
Who are the top targets to present Silver GranuFoam to?
MDs that are already using Silver and Vac
31
Silver GranuFoam has a _____ run-rate than adjunct topical.
faster
32
Temporary Tissue Discoloration (grey) is harmful/not harmful?
not harmful
33
Is the Granulation rate of Silver Foam the same as Black Foam?
Yes
34
Bacteriostatic Agents _______?
Inhibit bacterial growth
35
Bactericidal Agents _____?
Kills Bacteria
36
What type of agent is Silver GranuFoam?
Bactericidal Agent
37
5 MOA for Silver GranuFoam
(B.I.I.I.) 1. Binds and disrupts sub-cellular components 2. Impairs Bacterial cell wall integrity 3. Impairs essential enzymes and metabolic events 4. Inactivates bacterial DNA and RNA
38
Silver Contraindications are?
``` MUNNS Malignancy in the Wound Untreated Osteomylelitis Non-enteric and unexplored fistulas Necrotic tissue with Eschar present Sensitivity to silver ```
39
Presents as an enteric fistula that is greater than 30days and will have evidence of epithelization on the mouth of the wound.
Chronic Fistulas
40
Type of Fistula that is un-epithelialized around the mouth
Acute Fistula
41
Type of Fistula that is short, direct tract, no associated abscess, no other organ involvement, often looks like a tiny hole located within intact skin.
Simple Fistula
42
Type of Fistula that's located inside the wound?
Complex Fistula
43
What type of Fistulas are contraindicated for VAC therapy?
Unexplored and Non-Enteric Fistulas
44
2 Goals for treating a Complex Chronic Fistula?
1. Segregate the fistula from the wound | 2. Allow for healing and stabilization of patient
45
Auto Grafts are_____
Taken from self Human
46
Allo Grafts are _____
Taken from a human other than self (maybe a Cadaver)
47
Xeno Grafts are ____
Taken from an animal of something foreign
48
Superficial and some deep layers of skin (does not come with own vascular network)
Split Thickness Graft
49
All the layers of the skin (comes with own intact vascular network)
Full Thickness Graft
50
A biological technique that focuses on the creation of tissue and tissue scaffolding.
Bio-Engineered Tissue
51
3 Goals and Objectives for Graft/Flap Placement (VAC)
1. Provide bolster and stability for skin graft 2. Helps protect wound environment, minimizes shearing forces 3. Removes fluid and assist skin or bio-engineered graft take
52
Whats the recommended length of time before removing VAC when placed on Graft? Pressure settings?
4 to 5 days | 75-125mmHg (White Foam @ 125mmHg)
53
Whats the recommended length of time before removing VAC when placed on FLAP? Pressure settings?
72 hours | 125-150mmHg (White Foam @ 125-175mmHg)
54
This fenestrated cellular human derived matrix thats designed for single application that supports regeneration of host tissue?
GraftJacket
55
Value Deck
``` ICES Innovation Clinical Evidence Economic Benefit Support ```
56
3 Benefits of AHS Sales App
1. Approved customers facing sales collateral is on AHS Sales APP 2. Give you ability to email materials to customers on site 3. Can check your ship pending in AHS Sales APP

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