week 2 wound care

Question 1

skin func

Answer 1

thermoreluation, vit d snthesis…

Question 2

contusion

Answer 2

blow from a blunt instrument

Question 3

abrasion

Answer 3

surface scrape

Question 4

laceration

Answer 4

tissues torn apart; open wound

Question 5

penetrating

Answer 5

like a bullet or metal fragments

Question 6

wounds classifed by depth

Answer 6

• partial thickness wounds -skin

- full-thickness wounds- involving thickness

Question 7

ischemia

Answer 7

deficiency in the blood supply to the tissue

Question 8

reactive hyereia

Answer 8

skin takes a bright red flush when pressure is relieved

Question 9

shearing

Answer 9

pressure and friction (so a risk factor for pressure ulcer)

Question 10

edema

Answer 10

makes it more prone to injury because of the decrease in elasticity, resilience, and vitality

Question 11

suspected deep tissue injury

Answer 11

purple or maroon discoloured intact skin or blood filled blister

Question 12

stage 1

Answer 12

nonblanchable reddness

Question 13

stage 2

Answer 13

shallow open ulcer, serum filled blister

Question 14

stage 3

Answer 14

full thickness tissue loss. sub fat may be visible

Question 15

stage 4

Answer 15

exposed bone, tendon or muscle.

Question 16

a total of — points on the braden scale is possible and anything lower than – is considered at risk

Answer 16

23,18

Question 17

skin tears

Answer 17

are the result of blunt trauma, shearing, or friction

Question 18

primary intention healing

Answer 18

occurs when the tissue surfaces have been approximatedand minimal or no tissue loss has occured

Question 19

secondary intention healing

Answer 19

a wound that is extensive an invloves considerable tissue loss and in which the edges cannot or should not be aproximated

Question 20

phases of healing

Answer 20

1. imflamm stage- hemostasis
2. proliferative stage- fibroblasts and collagen make tissue
3. maturation- scab

Question 21

exudate

Answer 21

fluid and cells that escaped from the blood vessels during the inflamm stage

Question 22

dehiscence

Answer 22

is the partial or total rupturing of a sutured wound.

Question 23

evisceration

Answer 23

the potrusion of the internal viscera through an incision,

Question 24

lab data

Answer 24

leukocyte (infection) hemoglobin (poor oxygen to tissues) blood coagulation (blood loss) serum protein ( bodys nutritional reserves for rebuilding cells) wound cultures (