Wound Care

Question 1

Function of skin

Answer 1

Protection against bacteria, dehydration, Uv light
Sensation
Movement with out injury
Excretion regulates volumes and chemical comp of sweat
Vit D production
Immunity
Temp regulation/ shivering vasoconstriction

Question 2

Dermis

Answer 2

Contains no skin cells
Collagen- fibrous protein layer contains blood vessels and nerve cells
Important factor in wound healing
dermis restores the physical properties of the skin and structural integrity
Provides mechanical strength for the skin

Question 3

Epidermis

Answer 3

The outer layer of the skin directly in contact with the environment
5 layers
Melanin
Keratin
Contains nerves and provides sensation of pain pressure and temperature
Reservoir for water and electrolytes
Makes skin stretchable and elastic

Question 4

Abrasion

Answer 4

Not deep, wide, kinda like a brush burn

Question 5

Lacerations

Answer 5

Deep, long, in one line, thinner than an abrasion

Question 6

Contusion

Answer 6

Bruising

Question 7

Punctures

Answer 7

Deep, small surface area on skin

Question 8

Avulsions

Answer 8

Skin peels off (devolving)

Question 9

Ulcer

Answer 9

Lesion that erodes away the skin

Question 10

Surgical incisions are

Answer 10

Well approximated

Question 11

Causes of wounds

Answer 11

Trauma
Pressure
Shear and friction
Poor circulation

Question 12

Three stages of healing

Answer 12

Inflammation
Proliferation
Maturation

Question 13

Inflammation

Answer 13

blood vessels constrict, intrinsic clotting pathway, fibrin matrix seals from further contamination and neutrophils removed dead tissues

Question 14

Proliferation

Answer 14

Monocytes
Phagocytes 
Granulation of tissue formation 
New tissue 
Collagen replace fibrin 
Maturation of new tissue

Question 15

Maturation

Answer 15

New tissue

Question 16

Granulation

Answer 16

New tissues forming, pink/white

Question 17

Primary intention of wound healing

Answer 17

Gluing, suture, staples

Question 18

Secondary intention

Answer 18

Wound contracts and cells grow

Question 19

Wounds heal from the ____ to _____

Answer 19

Outside

Question 20

Secondary intention or open wound healing

Answer 20

Already infected
Made by dirty contaminated tissue 
Animal or human bites 
Wound old at treatment 
Made when there is a lot of tissue damage can happen on bottoms of the foot

Question 21

Chronic wounds

Answer 21

Diabetic foot ulcers

Arterial or venous statis ulcers

Question 22

Disturbances in wound healing

Answer 22

Infection 
Smoking 
Malnutrition 
Cancer 
Age 
Venous statis 
DM 
dehydration

Question 23

Medications

Answer 23

Delays in healing and predisposes them to infection

Question 24

Perianal dermatitis

Answer 24

Chronic exposure to moisture 
Fecal and urinary incontinence
Alkaline PH
Overgrowth or infection pathogen (yeast) 
Friction and shear

Question 25

Patients with perianal dermatitis should take

Answer 25

Antibiotic with probiotic

Question 26

Pt taking cirpoflovixan can not

Answer 26

Eat dairy 4hrs after taking meds

Question 27

It is important to check ____ hair in those who have fallen

Answer 27

Hair

Question 28

Diabetic foot ulcers

Answer 28

Due to neuropathic impairment of ms balance as well as immune compromise from leukocyte dysfunction and peripheral vascular disease

Question 29

Pressure ulce

Answer 29

Resume of ischemia due to prolonged pressure over a bony area

Question 30

High albumin can lead to blisters and ??

Answer 30

Water "seeping" out

Question 31

Venous statis ulcer

Answer 31

Results from hypoxia in areas of venous congestion in the lower extremities

Question 32

Wound interventions

Answer 32

``` Increase nutrition Debride Elevate extremities Optimize blood flow Dressing Reduce edema Medications Grafts Age Malnutrition Control diabetes Avoid sterols alchohol and smoking ```

Question 33

When writing goals to improve nutrition

Answer 33

Increase % of what patient eats daily and monitor albumin level

Question 34

Optimizing blood flow

Answer 34

``` Warmth Hydration Hyperbaric o2 therapy Reduce edema Elevate Compression Negative pressure wound therapy (wound vacs) ```

Question 35

Don't apply pressure stockings over

Answer 35

Venous stasis ulcer s

Question 36

Serum albumin (malnutrition)

Answer 36

Severe

Question 37

Protein

Answer 37

Severe

Question 38

What vits can improve healing

Answer 38

B C and grape seed extract

Question 39

____ _____ can thin blood so watch pts taking it

Answer 39

Grape seed oil