pressure ulcer Flashcards
1
Q
what is pressure ulcer
A
decubitus ulcer or bed sore
2
Q
what synergistic factors causes pressure ulcer
A
1) moisture
2) pressure (Amt & duration)
3) shearing force
4) friction
3
Q
what is the criteria for pressure ulcer
A
1) purulent discharge
2) ≥ 2 signs of inflammation
4
Q
risk factors for pressure ulcer
A
1) reduce motility
2) debilitated by severe chronic diseases
3) reduced consciousness
4) sensory & autonomic impairment: incontinence
5) extremes of ages
6) malnutrition
5
Q
clinical presentation of pressure ulcers
A
1) stage 1
- abrasion of epidermis
- irregular area of tissue swelling
- X open wound
2) Stage 2
- extend through dermis
- open wound
3) stage 3
- extend deep into subcutaneous fat
- open sore/ulcer
4) stage 4
- muscle & bone
- deep sore/ulcer
6
Q
microbiology for pressure ulcer
A
similar to DFI
7
Q
pharmaco treatment for pressure ulcer
A
similar to DFI
8
Q
adjunctive measure for pressure ulcer
A
1) debridement of infected/necrotic tissue
2) local wound care
- normal saline, X harsh chemicals
3) relief of pressure
- turn/reposition every 12 hrs
- important for prevention
