Sync Flashcards

(46 cards)

1
Q

Abnormal firmness of the tissues with palpable margins

A

Induration

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2
Q

Woody fibrosis of the skin

A

Lipodermatosclerosis

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3
Q

Red moist tissue raised above the level of the skin

A

Hypergranulation

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4
Q

Abnormal thickening of the epidermis

A

Hyperkeratosis (callous)

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5
Q

When would a pressure wound be considered unstageable?

A

Covered with Eschar or slough (cannot see the wound)

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6
Q

What are the components required to describe a wound?

A

Wound location

Wound size

Tissue present

Wound edge

Periwound

Odor or exudate

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7
Q

Serous exudate

A

Thin, watery, clear

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8
Q

Sanguineous exudate

A

Thin, bright red, fresh bleeding

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9
Q

Serosanguinous exudate

A

Thin, watery, pale red to pink

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10
Q

Perulent exudate

A

Thick or thin, yellow

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11
Q

Foul purulent exudate

A

Yellow to green with bad odor

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12
Q

What does scant mean in wound drainage?

A

Wound tissue moist (no measurable drainage)

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13
Q

What does minimal mean in wound drainage?

A

Wound tissue very moist (<25% of dressing saturated with drainage)

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14
Q

What does moderate mean in wound drainage?

A

Wound tissue is wet (25-75% dressing saturated with drainage)

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15
Q

What does large mean in wound drainage?

A

Wound tissue is filled with fluid (>75% dressing saturated with drainage)

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16
Q

When would you consider debridement?

A

On black or yellow tissue (not red)

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17
Q

What is red tissue?

A

Granulation (firm, red, moist)

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18
Q

What are the different ways red tissue may present?

A

Paly dusky or beefy red

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19
Q

What is yellow tissue?

20
Q

What are ways to describe yellow tissue?

A

Dry and adhered or stringy and wet

21
Q

What is black tissue?

22
Q

What are ways to describe black tissue?

A

Firm or loosely attached

Wet or dry

23
Q

What is epithelialization?

A

New, pink to white, shiny migrating healthy epithelium

24
Q

What categories are chronic wounds classified into?

A

Pressure, diabetic/neuropathic, arterial, and venous

25
What test would you use for pressure ulcers?
National pressure injury advisory panel staging system Braden or Norton scale
26
What tests would you use for arterial ulcers?
Rutherford grade and category 0-6 Fontaine classification Foot
27
What test would you use for venous ulcers?
CEAP classification
28
What test would you use for diabetic ulcers?
Diabetic Wagner scale 0-5
29
What test would you use for burns?
Depth (thickness) Superficial, superficial partial, deep partial, full thickness
30
What may the ridge indicate on a surgical wound?
Normal healing
31
What is a type of mechanical debridement?
Pulsed lavage
32
What is the best type of debridement for an infected large sacral pressure injury covered in necrotic tissue?
Surgical
33
What is one reason you would never use autolytic debridement?
Infection
34
What dressings would you use with low exudate?
Hydrogel, transparent film, or hydrocolloid
35
What dressings would you use with high exudate?
Alginate, foam, or super absorbent
36
What does erythema mean?
Redness
37
What does ecchymosis mean?
Bruising
38
What does hemosiderin mean?
Darkened staining color
39
What is the main mechanism by which chronic wounds fail to heal?
Prolonged inflammatory process
40
Why would you do cross hatching or scoring on a wound?
To allow for enzymatic debridement to under the top
41
What are the best debridement methods for Eschar?
Sharp or enzymatic (do not debride if there is inadequate blood supply)
42
What is the fastest way to reduce slough?
Sharp debridement
43
What is debridement?
Removal of necrotic tissue from a wound to improve the healing process
44
What are the types of debridement?
Mechanical Autolytic Enzymatic Surgical/sharp Biologic
45
What does negative pressure wound therapy do?
Promotes wound contraction pulling granulation tissue to fill dead spaces
46
What does negative pressure wound therapy create?
Moist environment (fluid removal and edema reduction)