Wk 4 Complications of Wound Healing Flashcards Preview

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Flashcards in Wk 4 Complications of Wound Healing Deck (19)
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1
Q

What is an adhesion?

A

A band of scar tissue that joins two surfaces of the body that are usually separate

2
Q

What is contraction?

A

an ongoing process resulting in part from the proliferation of the specialized fibroblasts termed myofibroblasts, which resemble contractile smooth muscle cells. Wound contraction occurs to a greater extent with secondary healing than with primary healing.

3
Q

What is a fistula?

A

Fistulas form when inflammation causes sores, or ulcers, to form on the inside wall of the intestine or nearby organs. Those ulcers can extend through the entire thickness of the bowel wall, creating a tunnel to drain the pus from the infected area. An abcess, or a collection of pus, can also cause a fistula to form.

4
Q

When is the greatest risk for hemorrhage?

A

24-48 hours after surgery

5
Q

How might internal bleeding present?

A

Swelling
Distention in the area
Sanguineous drainage
Initially a subtle change in VS

6
Q

What is the first VS change during a hemorrhage?

A

Tachycardia

7
Q

What should you do first during wound hemorrhage?

A

Apply pressure dressing, THEN notify provider and monitor vital signs

8
Q

Separation of a wound, usually a few underlying skin layers

A

Dehiscence

9
Q

Evisceration is a reason for…

A

Immediate surgery

10
Q

With an evisceration there will be a significant increase in…

A

serosanguinous fluid on the wound dressing

11
Q

What is often the case when a patient has an evisceration?

A

History of sudden straining, will say it felt like wound popped or gave away

12
Q

Visualization of the __ is a manifestation of an evisceration

A

Viscera

13
Q

What are the risk factors for dehiscence and evisceration?

A
Chronic disease
Age
Obesity
Invasive abdominal cancer
Vomiting
Infection
Ineffective suturing
Dehydration
Malnutrition
Excessive straining
14
Q

When a patient has an evisceration what should you do?

A
Notify provider
Stay with patient
Cover wound
Position patient
Stay calm
15
Q

What should you cover an evisceration with?

A

Sterile towels or dressings soaked with sterile normal saline

16
Q

What position should you place a patient in with an evisceration?

A

Supine with hips and knees bent to prevent too much stretch in the area

17
Q

If a patient has an evisceration you should keep them…

A

NPO because they will likely need surgery again

18
Q

When does a wound infection manifest?

A

2-11 days post op/injury

19
Q

What are the s/s of a wound infection?

A
Pain
Inflammation
Purulent drainage
Odor
Fever, chills
Tachycardia
Tachypnea
Leukocytosis