Skin Flashcards

Question

What is a diabetic ulcer and how do you treat it?

Answer 1

Repetitive trauma to insensitive skin. Associated with arterial disease and peripheral neuropathy Wound care, off loading, skin and foot care, exs

Answer 2

Lesion caused by unrelieved pressure resulting in ischemic hypoxia and tissue damage Rx- wound care, edu and skin hygiene, incontinence mx, seating, pressure relief, positioning, exs, nutrition

Answer 3

1- nonblanchable erythema of intact skin, skin temp changes, skin firm or boggy, sensation pain and itchy 2- partial thickness skin loss, epidermis and/or dermis, superficial, abrasion, blister, shallow crater 3- full thickness skin loss, damage or necrosis of subcutaneous, maybe into fascia, deep crater 4- full thickness, tissue necrosis, damage to muscle, bone, sinus tracts

Answer 4

Selective Natural Moisture retentive dressing Solubilization of necrotic tissue Indications- patients on anticoagulant therapy, can't do other forms, all wounds on medically stable Contra- infected wounds, immunosuppressed, dry gangrene or ischemic wounds

Answer 5

Selective chemical Liquified necrotic tissue by applying topical collagenolytic enzymes Indications- moist necrotic tissue, eschar after cross hatching, home bound, can't do surgical Contra- ischemic wounds, dry gangrene, clean granulated wounds

Answer 6

Nonselective Removes foreign material (wet to dry gauze, dextranomers, pulsating lavage, whirlpool) Indications- moist necrotic tissue or foreign material present Contra- clean, granulated wound. Can remove healthy skin

Answer 7

Selective Sterile instruments No anesthesia Little bleeding Indications- scoring and excision of leathery eschar, excision of moist necrotic tissue Contra- clean wounds, advancing cellulitis, infection threatens life, patient on anticoagulant therapy

Answer 8

Performed by surgeon/physician with sterile instrument Deep stage 3 or 4, complicated pressure ulcer Most effective Pain, bleeding, may need anesthesia Indications- Advancing cellulitis, immunocompromised, infection threatens life, granulation and scar may be excised Contra- cardiac disease, pulmonary disease, diabetes, spasticity, cannot tolerate surg, QOL can't be improved

Answer 9

Selective Long wave low frequency US 20-50kHz Indications- Increase angiogenesis, Remove necrotic tissue, Prep for grafting/flap closure Contra- DVT, PVD, tumors, organs, electrical devices Precaution over nerves, infections, anesthetic areas

Answer 10

``` For stage 1 and 2 ulcers Used as secondary dressings Autolytic debridement Can see through to view wound healing Comfortable Impermeable to water, bacteria, environment Non absorptive Difficult to apply Do not use on fragile surrounding skin Do not use on infection ```

Answer 11

``` Contains hydroactive/absorptive particles that form gelatinous mass over wound Protection of partial-thickness wounds Autolytic debridement Used for mild exudate Maintains moisture Comfortable Min-Mod absorption Easy to apply Time saving waterproof Nontransparent Odor and yellow drainage on removal Do not use on infection ```

Answer 12

``` Partial and full thickness with min-mod exudate Burns Soothing and cooling Fill dead space Autolytic debridement Conforms to wound Nonadherent, requires secondary dressing Transparent Do not use sheet form on infection May macerate surrounding skin ```

Answer 13

``` Soft, absorbent seaweed Moderate-Large amounts of exudate Packing and absorption Infected and nonifected wounds Easy to apply Requires secondary dressing Can dry wound bed ```

Answer 14

``` Large exudate Dead space, tunneling, sinus tracts WET TO DRY- mechanical debridement CONTINUOUS DRY- heavy exudate CONTINUOUS WET- autolytic, protect clean wounds Cost effective Can use on infected wounds Pain on removal Delayed healing if used wrong Labor intensive Avoid direct contact with granulating tissue ```

Answer 15

``` Partial and full thickness with min to mod exudate Protection and insulation Nonadherent, requires secondary dressing Conformable Easy to use For deep cavitites Nontransparent Not comfortable Not for dry eschar ```

Answer 16

serous - watery purulent - pus sanguineous - blood

Answer 17

``` antimicrobial agents - silver nitrate anti inflamm - corticosteroids anesthetics - lidocaine hand washing sterile tools/techniques negative pressure wound therapy ```

Skin Flashcards

(41 cards)