Wound Healing Flashcards

(47 cards)

1
Q

Chemotactic Agents

A

Substances that attract cells necessary for wound repair after an injury.

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2
Q

Chemotaxis

A

The process of active movement toward the area of highest concentration of a chemical signal.

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3
Q

Angioblast

A

Endothelial cell that lines the vessel wall

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4
Q

Basophil

A

Granular leukocyte which releases chemicals such as histamine which are responsible for inflammation and heparin.

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5
Q

Collagenase

A

Endogenous enzyme that breaks down collagen during the maturation and remodeling process of wound healing.

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6
Q

Contraction

A

Part of the proliferative phase of wound healing decreasing the size of the wound defect. Myofibroblasts drive the process of wound contraction.

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7
Q

Cytokine

A

Signaling protein with role in the inflammatory phase of wound healing..
Regulates cell proliferation, migration, matrix synthesis, deposition, degradation.

All are cytokines: interferon, growth factors, interleukins, tumor necrosis factor, platelet derived growth factor.

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8
Q

Diapedesis

A

The movement of PMN through capillary walls by extending foot like projections through the narrow openings within the vessel walls.

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9
Q

Epithelialization

A

Resurfacing of the wound with keratinocytes.

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10
Q

Exudate

A

Fluid containing high levels of protein and cells.

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11
Q

Fibroblasts

A

Dermal cells that produce collagen, elastin, granulation tissue and growth factors. Responsible for forming granulation tissue

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12
Q

Granulation tissue

A

Temporary structure composed of vascularized connective tissue that fills the wound void.

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13
Q

Growth Factor

A

Growth promoting substance that increases or enhances cell size, proliferation or activity.

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14
Q

Histamine

A

Chemical mediator released by mast cells which cause vasodilation, increase vessel wall permeability, and attracts other cells to the area.

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15
Q

Hyaluronic acid

A

Key structural and functional component of the extra cellular matrix which promotes cell proliferation, and tissue regeneration and repair. Hyaluronic acid is a key component of amniotic fluid.

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16
Q

Inflammation

A

First phase of wound healing, characterized by rubor, calor, tumor, dolor, and functio laesa; vascular and cellular response to healing.

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17
Q

Integrin

A

Cell surface receptor that allows cells to reversibly bind to the extra cellular matrix.

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18
Q

Margination

A

Process in which PMNs are pushed to the sides of a vessel wall.

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19
Q

Mast cell

A

Cell that helps to initiate inflammation, secretes histamine, enzymes, and destroys bacteria and debris.

20
Q

Matrix Metalloprotease (MMPs)

A

Protease that degrades the extra cellular matrix formed during the inflammatory process.

Secreted from: keratinocytes, neutrophils, macrophages, fibroblasts.

21
Q

Maturation and remodeling

A

The third phase of wound healing during which collagen matures and reorientation along the lines of stress.

22
Q

Myofibroblast

A

Cell possessing properties of fibroblasts and smooth muscle cells which cause wound contraction.

23
Q

Polymorphonuclear Neutrophil (PMN)

A

Cell that cleans the wound; secretes enzymes. MMPs and inflammatory mediators.
First cells to the site of injury. Scavenger. Kills bacteria.

24
Q

Platelet

A

Cell that controls bleeding but also releases growth factors and chemotactic agents.

25
Proliferation
Second phase of wound healing; building and regenerating phase consisting of angiogenesis, granulation tissue formation, wound contraction and epithelialization.
26
Prostaglandin
Substance released from injured cells causing vasodilation
27
Regeneration
Re-epithelialization of a wound; principal method of healing in primary intention.
28
Remodeling Repair
The final phase of wound healing in which scar tissue is reorganized. Primary mode of wound closer by secondary intention.
29
Scab
Collection of necrotic cells, fibrin, collagen, and platelets that covers a superficial wound.
30
Thrombocyte
Also known as a platelet
31
Tissue inhibitors of matrix metalloproteas (TIMPs)
Protease inhibitor of MMPs
32
Transudate
Low protein collection of fluid caused by increased permeability
33
Wound contracture
Process by which myofibroblasts pull wound margins closer together thereby decreasing the size of the defect.
34
Macrophage
- Directs repair process. - with killing bacteria and cleaning wound. - Secretes growth factors and MMPs
35
TIME principles in wound bed preparation
T- tissue nonviable or deficient. This defective matrix and cell debris impairs healing. Clinical action- debridement
36
Time Principles of wound bed preparation.
I- infection or Inflammation. High bacteria counts or prolonged inflammation secondary to : - inflammatory cytokines - increase proteases - decreased growth factor activity Action- antimicrobials, antiinflammatories, protease inhibitors.
37
TIME Principles of wound bed preparation.
M- moisture balance. Desiccation slows epithelial migration. Excessive fluid causes maceration. Action- moisture balance dressing, compression, negative pressure dressing,
38
TIME principles of wound bed preparation.
E- edge margin non-advancing or undermined. Epidermal margin non-advancing or undermined. Use Adjunctive therapies, bioengineered skin, debridement, skin grafts.
39
DIME
D-debridement I-infection/inflammation M-moisture E- wound edge margin
40
Bioburdon
Number, diversity and virulence of bacteria present in a wound, as well as the interaction of organisms with each other. Excessive bio burden inhibits wound healing.
41
Cheryl at early alcohol
Emulsifier present in some creams and paste bandages which may cause an allergic dermatitis.
42
Acute wound
Caused by surgery or trauma in a healthy individual. Less than 2 weeks old.
43
Chronic Wound
Wound induced by various causes, whose progression through the phases of wound healing is prolonged or arrested die to underlying conditions.
44
Granulocytes
BEN Basophils Eosinophils Neutrophils
45
Eosinophils
Immune regulators. Fight infection by destroying parasites and bacteria. Along with mast cells they control allergic responses
46
Agranulocytes
Monocytes, when they leave the circulation, they become macrophages. Lymphocytes B cells- make antibodies T cells fight viruses NK (natural killer cells) fight viruses
47
Agranulocytes
Monocytes, when they leave the circulation, they become macrophages. Lymphocytes B cells- make antibodies T cells fight viruses NK (natural killer cells) fight viruses