Wound Care Flashcards Preview

Nursing II > Wound Care > Flashcards

Flashcards in Wound Care Deck (25)
Loading flashcards...
1
Q

Signs of Impaired Healing 1-4 days

A

Persistent drainage >24 hrs after wound has been closed, no inflammation

2
Q

Why is inflammation important in wound healing?

A

Because inflammation is the begging of the body’s healing process

3
Q

Signs of normal healing 1-4 days

A

inflammation,redness,in-duration (hardening), warmth, tenderness & pain

4
Q

Sign of normal healing 7-10 days

A

there will be a healing ridge

5
Q

Signs of Impaired Healing 7-9 days

A

lack of a healing ridge

6
Q

Chemo, radiation therapy, immunosuppressants, anticoagulants, smoking & steroid all impede what?

A

the healing process

7
Q

Wound that goes to Pink –> bright red indicates what?

A

that blood vessels are reforming well within tissue

8
Q

What do you look at when assessing a wound?

A

Location, size, shape, sinus tracts, tunneling, necrotic tissue, exudate, inflammation, pain

9
Q

Do you base treatment on culture swab alone?

A

No. Treatment is based on culture & assessment

10
Q

Deep tissue injury

A

purple localized color on intact skin,

11
Q

Stage I ulcer is what?

A

intact skin with non blanchable redness of a localized area, usually over a bone

12
Q

Stage I ulcer will feel..

A

warm or cool, firm or soft & may be painful

13
Q

Stage II ulcer

A

Partial thickness skin loss involving the epidermis, dermis or both

14
Q

Stage III ulcer

A

Full thickness loss extending into subcutaneous tissue; does not go thru fascia. Bone, tendon or muscle are not exposed

15
Q

What does a stage II ulcer look like?

A

intact or not intact blister, shiny or dry

16
Q

Stage IV ulcer?

A

full thickness tissue loss, exposed bone, tendon or muscle

17
Q

Un-stagable ulcer

A

full thickness tissue loss in which the base of ulcer is covered slough (yellow, tan, gray, green

18
Q

Where do arterial ulcers occur?

A

on the feet, between toes

19
Q

Venous ulcer (stasis ulcers) occur where

A

pretibial region of lower leg (ankle)

20
Q

Cause of venous ulcer

A

venous hypertension

21
Q

Pro of running stitch

A

its good because its faster

22
Q

continuous locking stich is only ______

A

approximated

23
Q

Mattress suture stitch

A

strong-double stitch

24
Q

When a bacteria is sensitive to an antibiotic what does that mean

A

antibiotic can kill bacteria

25
Q

Wound is packed with a damp gauze dressing primarily to

A

facilitate the healing process