Unit 6 Wounds-INP Flashcards
(35 cards)
Sanguineous
Bloody
Serous
Clear or yellow fluid
Slough
Non viable yellow, tan, gray, green or brown tissue. Usually moist, stringy in texture.
Serosanguineous
Mixture of serous and blood
Granulation
Pink or red tissue with cobblestone or bumpy appearance, moist glandular appearance
Exudate
Accumulated fluid tissue
Purulent
Pus made up of inflammatory cell and tissue debris often is green, brown or yellow.
Necrosis
Black, brown, or tan tissue that adheres firmly to the wound bed, may be softer or harder.
Abscess
A collection of pus in any part of the body.
Debridement
Is the removal of unhealthy tissue from a wound. This improves wound healing.
Dehiscence
Is the separation of the edges of a surgical wounds
Approximation
Edges are closed and risk of infection is low
Epithelialization
Surface of a wound has been repaired.
Evisceration
Organs protrude through a surgical opening.
Secondary intention
THis type of wound healing is left open until it becomes filled by scar tissue.
The wounds heal granulation tissue formation, wound contraction and epithelialization.
Tertiary Intention
Wound if left open for several days and healing is delayed until risk of infection is resolved then wound edges are approximated.
Wound Classification
System that describe the status of skin integrity, cause of the wound, severity or extent of tissue injury or drainage, or cleanliness.
Biofirm
Excess bacterial burden
Tunneling
Tract that connects two wounds
Fistula
Tunneling that connects with a bbody cavity
Undermining
Fan shaped destruction of connective tissue between the dermis and SQ tissue
Sinus tract
Long narrow opening along facial plane
May lead to underlying deeper absences.
Sutures
Absorbable or non absorbable tool used to close a wound that encourage would to heal by primary intention.
Eschar
Tissue that is dead. Either dry/leathery or soft and boggy. Black or brown in color.