S1L1: Wound Management

Question 1

T/F: Cleansing method should be selected on its ability to support or return a wound bed to homeostasis

Answer 1

True

Question 2

T/F: Whirlpool is a cleansing agent only

Answer 2

False: Both a cleansing agent and mechanical
debridement

Question 3

T/F: Whirlpool use selective mechanical debridement

Answer 3

False: non-selective

Question 4

T/F: In whirlpool, there is Large risk of contamination of wound

Answer 4

True

Question 5

● Basically, it is a cleansing tool which uses suction to clear out well the debris from the irrigation process
● AKA Forceful irrigation

Answer 5

PULSATILE LAVAGE WITH SUCTION

Question 6

Potential risk of PULSATILE LAVAGE WITH SUCTION

Answer 6

Overuse

If you over debride the wound you will risk the
removal of the viable tissues that the wound needs
to be able to heal

Question 7

● Wound Irrigation + suction to clean out wound exudate &
debris, & delivers medication
● May aerosolize microorganisms

Answer 7

PULSATILE LAVAGE WITH SUCTION

Question 8

● Pouring a solution over a wound using a bulb syringe or other device

Answer 8

Non-forceful irrigation

Question 9

● Mostly used to treat wounds that are clean, & only need removal of endogenous fluids, or residue by cleaning products

Answer 9

NON-FORCEFUL IRRIGATION

Question 10

● Topical solutions that are marketed for acute & chronic wounds
● Most have some antimicrobial effects but most have significant antimitotic effects

Answer 10

COMMERCIAL SKIN & WOUND CLEANSERS

Question 11

Refers to the
● The removal of foreign matter & dead or damaged tissue
● More of a mechanical means

Answer 11

Wound debridement

Question 12

● Removal of all types of tissue
● Quick, but painful & damages nearby tissue
● E.g. whirlpool

Answer 12

NONSELECTIVE DEBRIDEMENT

Question 13

● Removes necrotic tissue in a controlled manner
● More comfortable & gentle

Answer 13

SELECTIVE DEBRIDEMENT

Question 14

Application of a wet dressing that is allowed to dry on the wound

Answer 14

Wet to Dry Dressing

Question 15

Wet to Dry dressing: Selective or Non selective?

Answer 15

Nonselective

Question 16

● Rapid results for treating life-threatening necrosis, large wounds, tunneling wounds, & necrotic or infected bone

Answer 16

SURGICAL DEBRIDEMENT

Question 17

● Nonselective debridement with cleansing

Answer 17

PULSATILE LAVAGE WITH SUCTION

Question 18

● Through the use of agitation
● Can soften necrotic tissue prior to other forms of debridement

Answer 18

WHIRLPOOL

Question 19

Gold standard of wound debridement

Answer 19

SHARP DEBRIDEMENT

Question 20

Removal of dead, necrotic tissue with the use of a scalpel, scissors, or forceps (sterile)

Answer 20

SHARP DEBRIDEMENT

Question 21

T/F: Sharp debridement is Contraindicated for vascular wounds with limited blood flow where the eschar may be covering a chronic open wound

Answer 21

True

Because eschar aids in healing of wounds

Question 22

T/F: Sharp debridement is not appropriate for tunneling

Answer 22

true

Question 23

Application of a topical agent using enzymes that act by dissolving necrotic tissue

Answer 23

CHEMICAL OR ENZYMATIC DEBRIDEMENT

Question 24

T/F: Chemical or Enzymatic debridement is nonselective, discomfort is minimum, simple application procedure

Answer 24

False: Selective, discomfort is minimum, simple application procedure

Question 25

T/F: in chemical/enzymatic debridement, there is a Potential development of dermatitis, frequent dressing changes disrupts wound bed

Answer 25

True

Question 26

T/F: CHEMICAL OR ENZYMATIC DEBRIDEMENT is antimicrobial

Answer 26

False: Not antimicrobial. Thus, can remove necrotic tissue but does not remove bacteria present in the area

Question 27

Clean maggots are put in the wound and they are the ones that are eating out the slough, eschar and other bad tissues but leaving viable tissue to heal after

Answer 27

Maggot debridement therapy (Biosurgery)

Question 28

Recommended for osteomyelitis & deep wound infections that remain unresponsive to regular therapy

Answer 28

Maggot debridement therapy (Biosurgery)

Question 29

Topical Agents: Antiseptic vs. Antibacterials Povidone-Iodine

Answer 29

Antiseptic

Question 30

Topical Agents: Antiseptic vs. Antibacterials Gentamycin/Geramycin: currently effective against all species of staphylococcus and streptococcus.

Answer 30

Antibacterial

Question 31

Topical Agents: Antiseptic vs. Antibacterials Bactroban/Mupirocin: currently effective against all species of staphylococcus.

Answer 31

Antibacterial

Question 32

Topical Agents: Antiseptic vs. Antibacterials Sulfamylon/Mafenide acetate: diffuses easily through eschar, primarily for thermal injuries.

Answer 32

Antibacterial

Question 33

Topical Agents: Antiseptic vs. Antibacterials Furacin/Nitrofurazone: cytotoxic in animal studies.

Answer 33

Antibacterial

Question 34

Topical Agents: Antiseptic vs. Antibacterials Silvadene/Silver Sulfadiazine: primarily for thermal injuries, silver is selectively toxic to bacteria but may inactivate topical proteolytic enzymes.

Answer 34

Antibacterial

Question 35

Topical Agents: Antiseptic vs. Antibacterials Bacitracin/Baciguent: associated with allergic reactions

Answer 35

Antibacterial

Question 36

Topical Agents: Antiseptic vs. Antibacterials Hydrogen Peroxide

Answer 36

Antiseptic

Question 37

Topical Agents: Antiseptic vs. Antibacterials Acetic Acid Solution

Answer 37

Antiseptic

Question 38

Topical Agents: Antiseptic vs. Antibacterials Sodium Hypochlorite Solutions = bleach solution, contains antimicrobial properties

Answer 38

Antiseptic

Question 39

● Stimulates cellular activity, accelerates inflammation ● Skin repair & wound contraction ● Strengthens scar tissue ● Cover the wound with a sheet of hydrogel

Answer 39

ULTRASOUND

Question 40

● Acute & chronic wounds ● Eliminate bacterial load, promote granulation, decrease inflammation, reduce wound related pain, augment blood flow

Answer 40

ELECTRICAL STIMULATION

Question 41

ES: Applied using a soaked gauze or a hydrogel dressing, direct or indirect?

Answer 41

Direct

Question 42

ES: Periwound area, direct or indirect?

Answer 42

Indirect

Question 43

T/F: Thermal & Nontheemal diathermy is Not indicated for patients with arterial insufficiency

Answer 43

True

Question 44

Increase fibroblast proliferation, collagen formation, tissue perfusion, & metabolic rate

Answer 44

THERMAL & NON-THERMAL DIATHERMY

Question 45

● Cutaneous & bactericidal effects ● Increased blood flow, granulation tissue formation, destruction of bacteria, stimulation of vitamin D production, & stratum corneum

Answer 45

ULTRAVIOLET RADIATION

Question 46

● Controlled amount of negative pressure is applied ● It aids in wound contraction by pulling the sides of the wound in towards the middle

Answer 46

NEGATIVE WOUND PRESSURE THERAPY

Question 47

● Enhances granulation tissue formation, promote wound edge approximation, remove edema, & improve oxygen levels

Answer 47

NEGATIVE WOUND PRESSURE THERAPY

Question 48

T/F: In Negative wound pressure therapy, Changed every 12 hrs (infected) to 24 hrs (non-infected) wounds

Answer 48

True

Question 49

● Promoted for augmenting wound healing ● Reversing peripheral neuropathy in people with diabetes ● Decreases pain

Answer 49

COLD LASER THERAPY

Question 50

Leaves contaminating fibers, contributes to desiccation, permeable to bacteria, adheres to the wound, releases bacteria to air upon removal (used for wet to dry, if you remove it, other tissues may come with), causes loss of normothermia, painful on removal

Answer 50

GAUZE/FIBER

Question 51

T/F: Gauze/Fiber ○ Cannot be used to lightly pack tunneling wounds ○ Can be used as a secondary dressing (not used in isolation)

Answer 51

False True

Question 52

● Designed to be less adherent ● Cellulose acetate + vaseline ● Minimally absorptive, minimal protection ● Primary dressing over new sutures to prevent them catching

Answer 52

Impregnated Gauze

Question 53

T/F: Impregnated Gauze Does not enhance a moist environment

Answer 53

True

Question 54

● Transparent membrane with acrylic adhesive layer ● Facilitate a moist wound environment ● Autolytic debridement

Answer 54

TRANSPARENT FILMS

Question 55

● Promotes angiogenesis & wound bed homeostasis ● Protects the skin from shearing, friction, & the effects of incontinence ● Careful removal ● Usually used when applying IV lines so it won't get removed

Answer 55

TRANSPARENT FILMS

Question 56

Highly absorbent pads of polyurethane, create an occlusive environment

Answer 56

Foam

Question 57

T/F: Foam is used alone for a dry wound

Answer 57

False: Not used alone for a dry wound because it will absorb whatever moisture the wound will excrete

Question 58

● Amorphous, gel-like ● Thin sheet of polymer containing 90% water

Answer 58

Hydrogel

Question 59

T/F: Hydrogel must be contained with a secondary dressing to keep it in place

Answer 59

True

Question 60

Used to increase moisture on a dry wound bed, soften necrotic tissue, & support autolytic debridement

Answer 60

Hydrogels

Question 61

Considered the most occlusive of the moisture-retentive dressing

Answer 61

Hydrocolloid

Question 62

Consist of absorbent colloidal material with a film/foam backing

Answer 62

Hydrocolloid

Question 63

T/F: Hydrocolloid is: ● Used as occlusive dressings over infected wounds without increasing bacterial load ● Not used during MDT (Maggot Debridement Therapy)

Answer 63

True False

Question 64

Alginates is derived from

Answer 64

marine algae

Question 65

Can Absorb 20-30x their own weight

Answer 65

Alginates

Question 66

Chemical reactions form a gel substance to keep wound environment moist

Answer 66

Alginates

Question 67

T/F: Alginates provide barrier against bacteria

Answer 67

False

Question 68

T/F: Alginates do not require a secondary dressing

Answer 68

False

Question 69

Alginate + ____ = antibacterial properties

Answer 69

Silver

Question 70

Commonly used for copious wounds or very heavy exudation

Answer 70

Alginates

Question 71

○ Hydroactive dressings ○ Selective absorptive capacity

Answer 71

Hydrofibers

Question 72

Combined positive characteristics of alginate, foam, and gel dressings

Answer 72

HYDROFIBERS

Question 73

● Absorb exudate & align themselves perpendicularly to the wound surface ● Allow growth factors & peptides to survive on the wound bed for better healing environment of the wound

Answer 73

HYDROFIBERS

Question 74

● Bioengineered tissues ● Temporary wound cover

Answer 74

SKIN SUBSTITUTES

Question 75

● Used on wounds that have not responded to conventional therapy such as a chronic diabetic foot ulcer, venous leg ulcers, & deep burns

Answer 75

SKIN SUBSTITUTES

Question 76

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing An absorbent secondary dressing for exudating or oozing wounds

Answer 76

A

Question 77

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Appearance: A sponge with a transparent film attached to a pump

Answer 77

H

Question 78

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Appearance: Woven and fibrous

Answer 78

G

Question 79

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Appearance: Thin roll with a single adhesive side

Answer 79

F

Question 80

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Appearance: Soft pad

Answer 80

D and E

Question 81

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Appearance: Moist gauze. May contain antiseptic, e.g. iodine

Answer 81

C

Question 82

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Appearance: Transparent film

Answer 82

B

Question 83

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Appearance: Woven tissue

Answer 83

A

Question 84

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Expensive Disruptive to patient

Answer 84

H

Question 85

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Contraindicated in drier wounds

Answer 85

G

Question 86

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Not a sole dressing

Answer 86

F

Question 87

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Relatively expensive. Often cause localized erythematous reaction

Answer 87

E

Question 88

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Cannot be used on dry wounds

Answer 88

D

Question 89

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Non-occlusive. Require fixation dressing

Answer 89

C

Question 90

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Fluids will become trapped and macerate. Allogenic

Answer 90

B

Question 91

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Desiccating and adherent

Answer 91

A

Question 92

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Removes heavy exudate, oedema and infected material. Promotes angiogenesis

Answer 92

H

Question 93

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Highly absorbent. Haemostatic

Answer 93

G

Question 94

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Can be cut to any shape

Answer 94

F

Question 95

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Promote autolytic, conformable

Answer 95

E

Question 96

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Promote autolytic debridement

Answer 96

D

Question 97

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Non-adherent. May be antiseptic

Answer 97

C

Question 98

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Allows monitoring of skin. Conformable. Cheap

Answer 98

B

Question 99

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Highly absorbent, Cheap

Answer 99

A

Question 100

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Uses: Large, deep, contaminated wounds. Highly exudative wounds

Answer 100

H

Question 101

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Uses: Exudating or mildly bleeding wounds

Answer 101

G

Question 102

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Uses: Holding a non-adhesive dressing in place

Answer 102

F

Question 103

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Uses: Ulcers or other chronic wounds

Answer 103

E

Question 104

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Uses: Ulcers, leg ulcers, stoma sites

Answer 104

D

Question 105

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Use: To maintain a moist environment in dry wounds

Answer 105

C

Question 106

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing Uses: For small, minimally exudative wounds as a primary dressing. As secondary dressing for other wounds

Answer 106

B

Question 107

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY Absorbency (High) A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing

Answer 107

A. Gauze G. Calcium alginate H. Negative pressure dressing

Question 108

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY Absorbency (Minimal) A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing

Answer 108

B. Semipermeable polyurethane film

Question 109

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY Absorbency (Moderate) A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing

Answer 109

D. Hydrocolloid E. Foam

Question 110

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY Absorbency (Nil) A. Gauze B. Semipermeable polyurethane film C. Moist Gauze D. Hydrocolloid E. Foam F. Fixation G. Calcium alginate H. Negative pressure dressing

Answer 110

C. Moist Gauze F. Fixation