Skin Integrity and Wound Care Power Point Flashcards Preview

461 - Foundations Exam 2 > Skin Integrity and Wound Care Power Point > Flashcards

Flashcards in Skin Integrity and Wound Care Power Point Deck (107)
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1

______ is a disruption in skin integrity and function of tissues.

wound

2

Many ways to classify a wound (6)

status of skin integrity
cause a wound
severity or extent of injury/tissue loss (partial or full thickness)
Acute vs. chronic
Cleanliness
Descriptive qualities (such as color)

3

______ are the most prevalent cell in the epidermis? or dermis?

fibroblasts

4

Classifying a wound assists the nurse in understanding the risks of the wound and the _____ for healing.

implications

5

______ are wounds that, as a rule, are healing normally.

Red wounds

6

_______ contain fibrinous slough. The slough is usually yellow, cream-colored, or white. Often it is soft and stringy in appearance, but it may be dry and stick tenaciously to the wound bed.

Yellow wounds

7

_______is an excellent medium for bacterial growth, so it needs to be removed to optimize wound healing.

Slough

8

_______ are wounds that contain dry necrotic tissue, which can be black, grey, or brown.

Black wounds

9

Classify the wound based on the least healthy _____.

color

10

Full-Thickness Wound Repair Phases

Hemostasis

Inflammatory Phase  

Proliferative (Reproduction & Reconstruction) Phase  

Maturation (Reestablishment or Remodeling Phase)  

11

With Full thickness wound repair includes the inflammatory phase which can last from ____ to ___ days.

3 - 6

12

With Full thickness wound repair includes the proliferative phase which can last from ____ to ___ days.

3-24 days

13

With Full thickness wound repair includes the maturation or the remodeling phase which can last from ____ to ___ days.

21 days to greater than 1 year

14

Full-Thickness Wound Repair Phases

Hemostasis & Inflammatory Phase   (ATI)

Proliferative (Reproduction & Reconstruction) Phase  

Maturation (Reestablishment or Remodeling Phase)  

15

Partial thickness wounds heal by _____.

regeneration

16

_______ is little or no tissue loss, edges approximated, heals rapidly, low risk of infection, no or minimal scarring

Primary Intention:

17

_______ is the loss of tissue, wound edges are not close together, longer healing time, increase risk of infection and scarring, heals by granulation

Secondary Intention

18

________ is the widely separated deep, spontaneous opening of a previously closed wound, risk of infection, closed at a later time.

Tertiary Intention

19

Types of Wounds

Abrasion
Laceration
Skin Tear
Puncture
Degloving?

20

With wound management prevent and _____ infection.

manage

21

With wound management ______ is important.

cleansing

22

With wound management it is necessary to _____ nonviable tissue.

removal

23

Macrophages like to attract _____.

fibroblasts (help synthesize collagen - begin the process of healing)

24

With wound management eliminate or minimize ___.

pain

25

With wound management protect the wound and ______.

periwound skin

26

What cell helps synthesize collagen?

fibroblasts

27

Scars can be strong and have good structure, but will never be as strong as the _____.

previous tissue (prior to injury)

28

Scars can be strong and have good structure, but will never be as strong as the _____.

previous tissue (prior to injury)

29

Proliferative phase is starting to repair the wound bed and _____.

edges

30

Facts in the restoration and tensile strength of healed tissue.

Staples
Sutures
Clips
Skin closure strips (Steri-strips)
Topical Adhesions (Dermabond