Wound Flashcards
(134 cards)
1
Q
Medical Asepsis
A
- Reduce the numbers of disease causing microorganisms through clean practices to prevent infection
2
Q
Surgical Asepsis
A
- eliminate all microbes before they can enter surgical wound or contaminate sterile field
3
Q
Wound Thickness
Full Thickness
A
- involves the epidermis, dermis, ad subcutaneous fat
4
Q
Wound Thickness
Superficial
A
- loss of epidermis
5
Q
Wound Thickness
Partial Thickness
A
- involve epidermis and dermis
6
Q
Abraded
Provide Definition & Example
A
- friction on skin
-> ex: road rash
7
Q
Contused
Provide Definition & Example
A
- blunt blow
-> ex: ecchymosis: bruise
-> ex: hematoma: larger more serious bruise
8
Q
Incised
Provide Definition & Examples
A
- intentional or accidental cut (even edges)
-> ex: scalpel, knife
9
Q
Puncture
Provide Definition & Example
A
- stab by blunt instrument
-> ex: IM injections, insertion of drain
10
Q
Laceration
Provide Definition & Example
A
- torn tissue (irregular edges)
-> machinery accidents
11
Q
Penetrating
Provide Definition & Example
A
- probing through skin into tissue
-> ex: bullet wounds (GSW)
12
Q
Reepithelialization
A
- body heals by forming new layers of epithelial cells to cover the wound
13
Q
Granulation
A
- brand new tissue cells of the skin as it is starting to heal (cell regeneration)
14
Q
Revascularization
A
- restoration of blood flow to a part of the body
15
Q
HAIs
A
- infections patients can get while receiving medical treatment in a healthcare facility
16
Q
Blanching
A
temporary whitening of skin when pressure is applied to it
17
Q
Approximated
A
- tissue is close together with no tissue loss
18
Q
Hemorrhage
A
- Persistent bleeding & clot dislodgement
19
Q
Hematoma
A
- Blood accumulation under skin at wound site
20
Q
Dehiscence
A
- Partial or complete separation of outer wound layers
21
Q
Evisceration
A
- Wound layers total separation & protrusion of internal organs
22
Q
Fistula
A
- Abnormal opening between two or more organ
23
Q
What are the proceudres for Medical Asepsis (Clean Technique)?
A
- Standard Precautions
- Hand Washing
- Cleaning Equipment
- PPE
- Appropriate linen handling
24
Q
What is the best and simplest was of preventing the spread of infection?
A
- Hand Washing
25
In what scenarios would you utilize Clean Technique?
- Isolation Precautions
- Soiled Linens
- Administering non-parenteral medications
-> oral, rectal, sublingual, intranasal
26
What Clean Technique do you follow when handling soiled linens?
- Roll linen onto self
Dont hold linen near body
-> contaminate clothing
27
What are the procedures for Surgical Asepsis (Sterile Techniques)?
- Perform sterile technique
- Sterile field/sterile gloves
- Sterilized equipment
- Packages within date of sterlization
28
In what scenarios would you utilize Sterile Technique?
- Operating room, Burn Unit, Labor & Delivery
- Invasive procedures done at bedside
- Performing dressing change on a incision wound
- Administering eye/ear drops
29
What invasive procedures done at the bedside require Sterile Technique?
- Foley
- bladder irrigation
- central line
- IV line
- IM SubQ inj
30
What is Principle #1 of Surgical Aspesis? Describe Principle #1.
**All objects in a sterile field must be sterile**
- Never assume an item is sterile
- Inspect package, must be:
-> Unopened
-> Clean
-> Dry
31
What is Principle #2 of Surgical Aspesis? Describe Principle #2.
**Sterile objects become unsterile when touched by unsterile object**
- If questioning sterility, considered contaminated
-> Donn new gloves, throw out item, restart procedure
- Use sterile gloves and forceps
32
What is Principle #3 of Surgical Aspesis? Describe Principle #3.
**Sterile items out of sight or below waist/table level are considered unsterile**
- Do not leave or turn back to sterile field
- Keep gloved hands above waist, out in front, within vision
-> Cautiously throw things away
- Tables are sterile at surface level only
33
What is Principle #4 of Surgical Aspesis? Describe Principle #4.
**Sterile objects can become unsterile by prolonged exposure to air**
- Microorganisms are airborne
-> Moving air brings microorganisms
- Control air: mask if needed, pt. mask, ↓ talking
- Open package with 1st fold away from you
- Don’t reach over sterile field
-> Go around sterile objects
- ↓ movement of sterile objects
- Place notes on door
-> ↓ traffic / close doors
34
What is Principle #5 of Surgical Aspesis? Describe Principle #5.
**Fluid flow in the direction of gravity**
- Wet forceps – hold tips downward (unsterile fluid drips off)
- Dry forceps
-> keeps tips up
- Surgical hand wash
-> Wash from clean to dirty
35
What is Principle #6 of Surgical Aspesis? Describe Principle #6.
**Moisture passing through sterile object draws microorganisms from unsterile surfaces above or below to the sterile surface**
- No splashing
- Waterproof barriers under sterile field (package with plastic versus paper)
36
What is Principle #7 of Surgical Aspesis? Describe Principle #7.
**Edges of sterile field are considered unsterile**
- one-inch margin at each edge of opened drape
-> considered unsterile/zone of contamination
- All sterile objects are placed within than one-inch inside the edges of a sterile field
37
What is Principle #8 of Surgical Aspesis? Describe Principle #8.
**Skin cannot be sterilized and is unsterile**
- Wear gloves
- Clean gloves to remove old dressings
- Sterile gloves to clean wound and apply new dressings
- Use only sterile applicators or forceps to hold sterile objects
- Antiseptics only make skin clean, not sterile
-> Skin can never sterile
38
What is Principle #9 of Surgical Aspesis? Describe Principle #9.
**Conscientiousness, alertness, and honesty are essential in maintaining surgical asepsis**
- Evaluate your own performance, help other nurses
-> Honesty: Verbalize if you’ve contaminated sterile field
- You must practice, practice & practice
39
What does the HAI Progress Report consist of?
- Consists of National & state-by-state summaries of Healthcare-associated Infections (HAI).
40
What data is included in the HAI Progress Reports?
- Central Line-associated Bloodstream Infections (CLABSI)
- Catheter-associated Urinary Tract Infections (CAUTI)
- Select Surgical Site Infections (SSI)
- Hospital-onset Clostridium difficile (C-diff) infections
- Hospital-onset Methicillin-Resistant Staphylococcus Aureus (MRSA) bacteremia (bloodstream infection)
- Hospital-Acquired Pressure Ulcers (HAPU)/Hospital-Acquired Pressure Injury (HAPI)
41
**True or False:** If any HAI’s happen in the hospital, nurses and faculty are mandated to report them to their governing body.
- True
42
**True or False:** If a patient is admitted into the hospital with an existing wound, the nurse could disregard the wound.
- **False:** If a patient comes into the hospital with an existing wound, they need to be charted as pre-existing wounds or they will be considered hospital acquired.
43
**True or False:** If there are hospital acquired infections, the hospitals are reimbursed by Medicare or private insurances.
- **False:** Hospitals are **NOT** reimbursed by Medicare or private insurances if a hospital acquired infection occurred. Hospitals eat the costs associated with HAIs.
44
What is the Braden Risk Assessment and what categories does it include?
**6 categories that measure a patient's risk for pressure tolerance/injury**
MF MANS
- Moisture
- Frictino/Shear
- Mobility
- Activity
- Nutrition
- Sensory perception (how alter pt is)
| score less than or equal to 18 = problem
45
What are some interventions for impaired skin integrity?
- Place pt on different bed (air mattress)
- Use pillow to pad bony prominences
- Frequent turning
- Foam dressing on bony prominences
-> Elbows, Coccyx, & heels
46
Describe a **RED** wound
## Footnote
Remember RED is RAD (good)
- “Ready-to-heal”
- Definite borders
- Granulation tissue present
- Revascularizations present
47
What is the therapy indicated for a **RED** wound?
## Footnote
Remember RED is RAD (good)
- Keep wound site moist, clean, and protected
48
Describe a **YELLOW** wound
## Footnote
Remember: YELLOW is YUCKY!!!!!!!
- Pus, debris, fibrin, and yellow exudate present
- May req. cleansing and minor debridement to promote formation of granulation tissue
- May req. use of topical antimicrobial if wound is contaminated
49
What is the therapy indicated for a **YELLOW** wound?
## Footnote
Remember: YELLOW is YUCKY!!!!!!!
- Application of preparation that will lift off and separate pus, fibrin, and necrotic tissues from the wound surface
50
Describe: **BLACK** wound?
## Footnote
Remember BLACK is BADDDDDDDDDDD
- Necrotic tissue/black eschar may be present
- May include pus, fibrin, and other cellular components that inhibit formation of granulation tissue
51
What is the therapy indicated for a **BLACK** wound?
## Footnote
Remember BLACK is BADDDDDDDDDDD
**debridement to dissolve remaining black, necrotic tissue**
- Mechanical (wet to dry, hydrotherapy)
- Surgical (cutting it out)
- Chemical (topical agents w enzymes)
52
**True of False:** A black wound is capable of healing on its own
False, black tissue is dead tissue and will never heal on its own (irreversible)
53
If a wound is showing multiple color codes, you always...
- treat the wound that is most severe
54
A wound is presenting both red and yellow manifestations. How would you identify this wound for treatment? What interventions would you use to treat this wound?
**Treat the wound as if it were a yellow wound**
- Application of preparation that will life off and separate pus, fibrin, and necrotic tissue from the wound surface
- Application of antimicrobial if appropriate
55
A wound is presenting both yellow and black manifestations. How would you identify this wound for treatment? What interventions would you use to treat this wound?
**Treat the wound as if it were a black wound**
- Mechanical, surgical, or chemical debridement to dissolve remaining black, necrotic tissue
56
A wound is presenting red, yellow and black manifestations. How would you identify this wound for treatment? What interventions would you use to treat this wound?
**Treat the wound as if it were a black wound**
- Mechanical, surgical, or chemical debridement to dissolve remaining black, necrotic tissue
57
# Describe the following pressure wound stage:
Stage I
## Footnote
(Description, Wound Thickness)
**Description:**
- closed & intact (inflammed)
- red -> no blaching w/ external pressure
- Warm
**Wound Thickness:**
- Superficial
58
# Describe the following pressure wound stage:
Stage II
## Footnote
(Description, Wound Thickness)
**Description:**
- skin not intact
- superficial & shallow
-> abrasion
-> blister
-> concave
- absent bruising
**Wound Thickness:**
- partial thicness
-> (loss of epidermis & dermis)
59
# Describe the following pressure wound stage:
Stage III
## Footnote
(Description, Tunneling/Undermining, Wound Thickness)
**Description:**
- dmg extends to subQ tissue
-> not to tendon/muscle/bone
- slough and/or eschar may be present (necrotic)
**Tunneling/Undermining**:
- tunneling may be present
- undermining may be present
**Wound Thickness:**
- full thickness skin loss
| slough and eschar are types of nectrotic tissue
60
# Describe the following pressure wound stage:
Stage IV
## Footnote
(Description, Wound Thickness)
**Description:**
- expose to muscle, tendon, or bone
- often tunneling
-> sinus tracts may develop
- slough & eschar present
**Wound Thickness:**
- full thickness skin loss
61
# Describe the following pressure wound stage:
Unstageable
## Footnote
(Description, Wound Thickness)
**Description:**
- completely covered with slough or eschar
-> dmg occured deeper than eye can see
**Wound Thickness:**
- full thickness skin loss
-> involves subQ tissue (stage III or IV)
62
# Describe the following pressure wound stage:
Suspected Deep Tissue Injury (DTI)
## Footnote
(Description)
**Description:**
- Intact area in purple or maroon
- discolored or blood-filled blister
- pain, boggy, warmer or cooler than surrounding tissue area
**Wound Thickness:**
- X
63
# Describe the following wound drainage:
Serous
- Clear, yellow = plasma & water
-> looks like blister
64
# Describe the following wound drainage:
Purulent
- Thick, yellow, green, greyish-blue = microorganisms
-> may indicate infection -> need culture to ID microorganims
65
# Describe the following wound drainage:
Sanguineous
## Footnote
Bright Red? Dark Red?
- **Bright Red** = new/fresh blood from a wound drain
- **Dark Red** = old blood
- Contains high number of RBCs
- Seen in Jackson Pratt drains
66
# Describe the following wound drainage:
Serosanguinous
- Clear/watery Red
-> plasma with some RBCs (incisional or from a wound drain)
-> usually from fresh surgery
67
# Describe the healing classifications of:
**Primary Intention**
## Footnote
(When to Use, Mechanism, Granulation, Repair Process, Examples, MISC)
**When to Use**
- wound edges can be easily closed
-> tissue edge approximated
-> no tissue loss
**Mechanism**
- suture closed at time of initial surgical incision
-> inflammation resolved quickly
-> thin scar forms
**Granulation**
- absent
**Repair Process**
- short (be eliminating dead speace reduces volume of tissue that needs to be repaird and granulation is absent)
**Examples**
- surgical incision
- clean laceration
**MISC**
- NOTE: wound is sealed closed but underlying tissues still need time to heal to regain strength
-> Must protect wound from stress
68
# Describe the healing classifications of:
**Secondary Intention**
## Footnote
(When to Use, Mechanism, Granulation, Repair Process, Examples, MISC)
**When to Use**
- depper tissue injuries
-> tissue edges not approximated (irregular)
-> loss of tissue integrity
**Mechanism**
- wound is left open and dead space req. gradual filling (via granulation)
-> scar tissue fills the defect
**Granulation**
- present
-> gradual filling into dead space with connective tissue
**Repair Process**
- long
-> may take even longer to heal if drainage is present
**Examples**
- chronic pressure
- venous stasis ulcers
- burns
**MISC**
- NOTE: needs protection & moistture to facilitate healing
69
# Describe the healing classifications of:
**Tertiary Intention**
## Footnote
(When to Use, Mechanism, Granulation, Repair Process, Examples, MISC)
**When to Use**
- Contaminated, significant tissue injury loss
**Mechanism**
- wound intentionally left open after debridement
-> allows inflammation to subside
**Granulation**
- granulation may be present in the inital open pahse of tertiary healing, but absent once wound i sclosed by primary intention
**Repair Process**
- long
-> if wound can be easily closed: close by first intention
-> if wound not easily closed: close by secodndary intention
**Examples**
- dog bites
- lacerations from foreign bodies
- contaminated tramatic wound
**MISC**
- AKA: Delayed Primary Closure
70
# Describe the wound healing mechanism for the following:
**Partial Thickness**
## Footnote
(Description, Healing Method, Repair Process, Healing Time, MISC)
**Description**
- superficial
- minimal tissue integrity loss
**Healing Method**
- heals by re-epithelization
**Repair Process**
- fibrin clot form and release growth factors
- resurfacing and produces keratin as normal skin
**Healing Time**
- 5-7 days
**MISC**
- heals better w/ hydrated skin, well oxygenated, and < microorganisms
71
# Describe the wound healing mechanism for the following:
**Full-Thickness**
## Footnote
(Description, Healing Method, Healing Time)
**Description**
- loss of tissue integrity
- dmg extended into lower layers of dermis and subQ tissue
**Healing Method**
- unable to heal by re-epithelization
**Repair Process**
- X
**Healing Time**
- takes longer to heal
**MISC**
- X
72
What shoud be included in wound care assessment?
- always assess wound first
- monitor for S/S of infection
73
what should be included in wound care documentation?
- record location, wound size
-> length, width & depth
- describe drainage type & amount
- define wound appearance & surrounding areas
74
What are some nursing safety priorities for wound care?
| Education, Collaboration, Things to Keep in Mind
- educate nursing care personnel and family
- collaborate with multi-interdisciplinary team members
- **NEVER** **massage** reddened skin areas or use **donut-shaped pillows** for pressure relief
75
Why do you never want to massage reddened areas or use donut-shaped pillows for pressure relief?
- they can cause dmg to capillary beds & tissue necrosis
76
How does age affect wound healing?
**Young People:**
- heal more quickly
**Elderly People:**
- have co-morbidities & chronic DZ
-> delay wound healing
77
How does DM affect wound healing?
PVD?
Decreased mobility?
- DM: slow wound healing
- PVD: ↓ blood flow to areas
-> ↓ nutrients & O2
- Decreased Mobility: ↑ pressure on skin
78
How does nutrition affect wound healing?
- healing requires additional calories
79
How does being malnouroished affect wound healing? Obese?
**malnourished:**
- ↑ risk for dmg & slow healing
**obese:**
- ↓ tissue perfusion & ↑ risk of infection
80
how does excersice affect wound healing?
- ↑ circualtion
81
how does smoking affect wound healing?
- ↓ functional Hgb (CO in smoke has higher affinity for Hgb, decreasing blood ability to carry O2)
- ↑ platelet aggregation --> clots
82
how does stress affect wound healing?
- vasoconstrition
-> ↓ tissue perfusion
83
How does caffeine affect wound healing?
- vasoconstrition
-> ↓ tissue perfusion
84
How do antinflammatory agents (steroids/predisone) affect wound healing?
- delay healing
(body need inflammation to help with healing, so antiinflammatories will prolong healing tmie)
85
How do antibiotics affect wound healing?
- prolonged use = ↑ risk for superinfection
86
How much water should be consumed in a day?
- 2-3000 ml per day
86
how does being immunosuppressed affect wound healing?
- ↑ risk for infection
87
how many calories should be consumed in a day for wound healing?
- 30-35 cal/kg/body weight
88
what should be the protein intake for wound healing be in a day?
- 1.25-2.0 g/kg
89
What supplements and vitamins are important for wound healing?
| ACE I Z
- Vitamin A
- Vitamin C
- Vitamine E
- Iron
- Zinc
90
How does vitamin A aid in wound healing?
- collagen production
- epithelizalization
91
How does vitamin C aid in wound healing?
- collagen production
- capillary formation
- ↓ infection
92
How does vitamin E aid in wound healing?
- fibroblast development
-> (build new tissue and pull edges inwards [contraction])
93
How does iron aid in wound healing?
- iron is a part of Hgb = funcitonal hemoglobin = carry O2 to tissues, which promote wound healing
-> pvt anemia
94
How does zinc aid in wound healing?
- ↑ healing rate
95
What vascular change occurs in geriatrics and how does inhibit healing?
- arthersclerosis, skin strophy, capillary atrophy
-> ↓ blood flow & O2 supply
96
What happens to collagen in geriatrics and how does it inhibit healing?
- collagen helps to build tough scar tissue
Without collagen:
- ↓ flexibility & elasticity = ↑ risk of dmg
-> ↓ delay wound healing
97
What happens to the immune system in geriatric patients and how does it inhibit healing?
- ↓ production of WBCs
-> ↑ risk for infection
98
How does anemia and decreased protein intake in geriatric patients inhibit healing?
**Anemia:**
- ↓ RBCs --> ↓ O2 and ↓ inflammatory response (bc less rbcs)
**Decreased Protein Intake:**
- ↓ collagen formation
99
How does less elastic tissue inhibit wound healing in geriatric?
- ↓ flexibility = ↑ stiffer (mvmt restriction)
100
# Wound healing complications
What is hemorrhage? What are the 3 types of hemorrhage?
| Include the symptoms you will see in each, if applicable
**persistent bleeding & clot dislodgment**
- **external**: visible bloody drainage
- **internal**: swelling and distention at wound area
- **severe**: hypovolemic shock (↓ BP, ↑ HR, ↑ RR) , diaphoretic, clammy
101
What is a hematoma?
What issue may a large hematoma cause?
- blood accumulation under skin at wound site
-> large size = ↓ tissue perfusion
102
What happens if a thrombus becomes an emboli and travels?
- cause CVA, heart attack
103
How long can an infection develop post-op?
- 2-11 days
104
What are the highest risk for getting a wound infection?
- Unintentional, contaminated wound
- GI wound
- HAIs
105
What type of surgery is at risk for evisceration and dehiscence?
- Abdominal surgery
106
What can happen to a patient if they have dehiscence or evisceration?
- go into shock
107
What are some Risk Factors for dehiscence and evisceration?
## Footnote
MMISSS V DOF
- malnutrition
- medical emergency
- immune deficiency
- straining
- steroid use
- suture failure
- vomitting
- DM
- obesity
- forceful coughing
108
What are some clinical manifestations of evisceration?
- pain
- fever
- tachycardia
- gush of serosanguinous fluid
109
what are some nursing interventions if wound healing complications arise with a patient who had **abdominal** surgery?
- stay w/ pt
- contact physician
- teach pt to splint when TCDB
-> ↓ pressure on sutures = wont pop
- cover site with sterile dressing soaked in NS
| TCDB = turn cough deep breath
110
# Describe the following wound healing complication:
**Fistula**
## Footnote
(Etiology/Causes, Management)
**Etiology/Causes:**
- improper suturing technique
-> tension on suture line
- ↓ blood supply to surgical site
- obstrution, hematoma, or abscess formation
- malnutrition
**Management:**
- surgical repair
- wound packing
- insertion of drain
111
What is the purpose of surgical drains?
- Relieves pressure on wound sutures by decompress or draining fluid or air
- Removes of blood, pus
112
Describe what the following drains are used for:
- **Hemovac, Vacu-Drain**
- **Penrose**
- **Jackson-Pratt**
- **Hemovac, Vacu-Drain**:
-> hip surgeries
- **Penrose**
-> abdominal surgeries
- **Jackson-Pratt**
-> adbominal surgeries
-> mastectomy
-> hip surgery
113
what is involved in open wound care? why can open wound healing be beneficial?
- suture or staple line leave open to air
-> air-drying promotes healing
- assessment for early detection of poor wound healing
| ex: healing by secondary intention
114
What is involved in **closed** wound care?
(Who does the first dressing change? How do you perform closed wound care? What if wound is saturated?)
- surgeon performs first dressing change to evaluate wound
- keep edged approxiated
- If saturated, **REINFORCE** dressing
-> dressign covered with absorbent pads
-> cover from patient's site
->> protects from environmental contamination
115
What is the purpose of cleaning wounds?
- remove debris & microorganims
-> use NS unless ordered differently (antimicrobial solution)
116
What’s the correct cleaning direction for wounds?
- clean from clean to dirty: circular from center wound outward laterally
117
Why do you want to clean from clean to dirty?
- prevent introduction of microorganisms into wound
118
The ____ of the wound is considered cleaner ____ than the surrounding skin.
center, surrounding
119
How do you clean a wound that is circular? How often do you change swabs?
- start middle spiral outward
-> use new sterile swab for each stroke
120
How do you clean a wound that is straight?
- clean from top to bottom
121
how do you clean a wound that has a drain?
- clean incision first, then the drain
-> position so that no dripping into wound form drain site
122
Describe: **Dry Dressing**
Use, Promotes, Benefits
**Used for:**
- Protection and absorption of moist wounds
- Removes exudate and prevents contamination
**Promotes**
- Granulation
**Benefits:**
- Promotes epithelial movement
123
Describe: **Synthetic Dressing**
Use, Promotes, Benefits, Changing times
**How does it work**
- semipermeable allows O2 exchange
**Promotes**:
- epithalization
**Benefits:**
- bacterial barrier
- conforms well to joints
- comfortable, less costly
**Changing Time**
- change every 3 days or PRN
124
Describe: **Wet to Dry Dressing**
| Use, Changing Times, MISC (where should it be applied?)
**Use**
- acts as sponge dries, assist in debridement
-> removes exudate & debris
**Changing Times**:
- orders to changed 1-2x/day
**MISC**
- ensure only applied on wound
-> if applied to skin, it will breakdown overtime
125
What is the purpose of wound irrigation?
flush wound w/ NS or medicated solution
- removes exudate & debris
-> promote granulation & wound healing
126
Why is it important to position the patient appropriately during the wound irrigation?
- allow gravity to assisten in drainage
127
What supplies should be utilized to help prevent spilling and proide comfort for the patient when irrigating their wound?
chucks/pads
128
wound packing is used to facilitate the removal of ____and ____.
- exudate; debris
129
What should you use to insert packing all the way to the base of teh wound and into any tunnels?
- sterile forceps or applicators
130
# finish the sentence
You should not allow gauze to drag on the skin because...
- it will get contaminated
131
What is the process (**steps**) of **wound packing?**
What are the **benefits** to wound packing?
**Steps of Wound Packing**:
1. Use gauze/roll/strip to loosely fill dead space
-> Use one piece to avoid packing being left in the wound
2. Use sterile forceps/applicators to insert packing all the way to wound base and into any tunnels
-> if tunnels, measure tunneling and document
3. When packing wound, do not allow gauze to drag on skin, or it will become contaminated
4. Cover with dressing (after packing wound)
**Benefits**
- facilitates the removal of exudate/debris
- promotes granulation
- prevents premature closure and abscess formation
132
Why do you want to use only one peiece of gauze/roll/strip when wound packing?
- use one strip to avoid packing being left in wound
133
What does a wound vac do?
AKA?
How does a wound vac promote faster healing process?
**A wound vac involves cutting a foam sponge and placing it into the wound and secured with adhesive sheet. Suction ports with tubing and a portable pump are attached.**
**AKA**: Negative Pressure Wound Therapy
- ↓ air pressure on wound by gently pulling fluid from the wound to reduce swelling
- cleans wound by removing bacteria
| Use in caution in pt with anticoagulation therapy
