open wound drsg Flashcards

(16 cards)

1
Q

wound 1

A

assess (3)

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2
Q

wound pt assess (3)

A

need
check rx
pain + last analgesia

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3
Q

wound care assess 1

A

need for wound care

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4
Q

need for wound care

A

soiled or routine

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5
Q

wound care assess 2

A

check rx for drsg type

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6
Q

wound care assess 3

A

pain + last analg

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7
Q

wound care 2

A

prep (13)

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8
Q

wound care prep (13)

A

equip (10)
hh, ppe prn
intro + id pt
explain + consent
privacy, comfort
clean gloves
remove soiled
assess drsg (3)
assess wound (14)
position pad + basin under wound
dispose gloves + drsg according to pol
hh
precut hypafix + label

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9
Q

wound care equip (10)

A

sterile glove
clean glove
wound care kit
30-60ml syr
irrig tip
hypafix
4x4/drsg
sterile ns
kidney basin
dispo pad

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10
Q

wound care assess drsg (3)

A

exudate, type of exudate, % soiled

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11
Q

wound care assess wound (14)

A

location
shape
size
tissue in
exudate
undermining
tunneling
pain pres
infection ssx
color
odor
periwound
wound edge
devit tissue

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12
Q

wound care 3

A

drsg change (10)

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13
Q

wound care drsg change (11)

A

open field
add mtl (4)
ensure space to open gloves
apply sterile gloves
connect irrig tip, draw ns, irrigate from clean > dirty
clean + dry surrounding tissue
reassess wound
apply drsg + hypafix 2-3 cm around
discard mtls
remove gloves + hh
BED

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14
Q

wound care mtl to add to field (4)

A

ns
syringe
tip
gauze/drsg

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15
Q

wound care 4

A

doc (4)

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16
Q

wound doc (4)

A

clt resp
aspect of wound + prev drsg
irrig
type of new drsg