Wound Healing, Burns and Rehabilitation Flashcards
(136 cards)
1
Q
Path of electrical resistance (least to greatest)
A
Nerve - Artery - Vein - Bone
2
Q
Three Zones of Burn Injury
A
Coagulation, Stasis, Hyperemia
3
Q
Zone of irreversible damage; (+) Necrosis
A
Zone of Coagulation
4
Q
Zone of reversible cell damage; (+) Ischemia
A
Zone of Stasis
5
Q
Zone of minimal cell damage; (+) Inflammation
A
Zone of Hyperemia
6
Q
If the Zone of Stasisis not treated, how long before the cell death happens?
A
24-48 hours
7
Q
Burn Classification: 3-4 days
A
Superficial Epidermal Thickness Burn Injury
8
Q
Burn Classification: 7-21 days
A
Superficial Partial Thickness Burn Injury
9
Q
Burn Classification: 21-35 days
A
Deep Partial Thickness Burn Injury
10
Q
Burn Classification: (+) red/pink with slight edema, delayed pain, and without blister and scar
A
Superficial Epidermal Thickness Burn Injury
11
Q
Burn Classification: Epidermis and Upper Dermis Affectation
A
Superficial Partial Thickness Burn Injury
12
Q
Burn Classification: (+) bright red with intact moist weeping blister, and severe pain.
A
Superficial Partial Thickness Burn Injury
13
Q
Burn Classification: (+) waxy white/red with marked edema and hypertrophic/keloid scars
A
Deep Partial Thickness Burn Injury
14
Q
Burn Classification: no definitive time
A
Full Thickness Burn Injury
15
Q
Burn Classification: (+) blacked with dry surface anesthetic pain and skin grafting
A
Full Thickness Burn Injury
16
Q
Burn Classification: (+) osteitis, osteomyelitis, and the damage is up until the bone
A
Subdermal Burn Injury
17
Q
Burn Classification: Electrical burn & Prolonged contact with flame
A
Subdermal Burn Injury
18
Q
Fourth Degree Burn
A
Subdermal Burn Injury
19
Q
Third Degree Burn
A
Full Thickness Burn Injury
20
Q
What degree is a chemical burn?
A
Third Degree or Full Thickness Burn Injury
21
Q
Severity of Burn Injury: 15-30% TBSA
A
Second Degree, Moderate
22
Q
Severity of Burn Injury: <3%
A
Third Degree, Minor
23
Q
Severity of Burn Injury: >30%
A
Second Degree, Major
24
Q
Severity of Burn Injury: 2-10%
A
Third Degree, Moderate
25
Severity of Burn Injury: <15%
Second Degree, Minor
26
Severity of Burn Injury: >10%
Third Degree, Major
27
Five other major or critical burn injury
Smoke Inhalation Injury, Electrical Burn, Burn with complication, Burn with fracture and Burn at the face, hands, feet, and perineum.
28
A scar that goes beyond the boundary
Keloid
29
A scar that stays at the boundary
Hypertrophic
30
Rules of Nine (Adult): Trunk
36%
31
Rules of Nine (Adult): Head and Neck
9%
32
Rules of Nine (Adult): 1 UE
9%
33
Rules of Nine (Adult): 1 LE
18%
34
Rules of Nine: Perineum
1%
35
Rules of Nine (Child): Head and Neck
18%
36
Rules of Nine (Child): 1 LE
14%
37
Rules of Nine (Child): Trunk
36%
38
Rules of Nine (Child): 1 UE
9%
39
The most common cause of death in burn patients
Infection
40
The most significant cause of loss of function in burn patients
Infection
41
Abnormal bone growth at the joint
Heterotrophic Ossificans
42
The most common site of HO in burn patients
Posterior Elbow
43
Cause of HO in burn patients
Immobility and Sepsis
44
The most common site of MO in UE
Brachialis
45
The most common site of MO in LE
Quadriceps Femoris
46
Management for MO
Gentle active ROM exercise
47
The common deformity of the Neck and Knee
Flexion
48
The common deformity of the Shoulder
Shoulder ABIR
49
The common deformity of the Hand
Claw Hand: Wrist and IP flexed, MCP extended and Thumb adducted
50
The common deformity of the Hip
Hip FADIR
51
The common deformity of the Ankle
Plantarflexion
52
The common deformity of the Elbow
Elbow Flexion and Pronation
53
Intrinsic Plus Position
Wrist: 15-20 degrees extension, MCP: 70 degrees flexion, IP: extension, Thumb: slight abduction
54
Intrinsic Minus
Claw Hand
55
Orthosis for Shoulder Deformity
Airplane Splint
56
Orthosis for Claw Hand Deformity
Resting Hand Splint
57
Position for Hip Deformity Stress
Extension, Abduction and Neutral Rotation
58
Position of Shoulder Deformity Stress
Slight flexion, 90 degrees abduction and ER
59
Topical drug for skin grafting to prevent infection
Furacin/Nitrofurazone
60
Topical drug for surface organism
Silver Nitrate
61
A topical drug used against pseudomonas
Silver Sulfadiazine/Silvadine
62
A topical drug used for penetration of thick eschar
Sulfamylon/Manefide Acetate
63
A topical drug used to liquify eschar
Travase/Elase
64
Topical drug for debridement of necrotic tissue with green exudate
Panafil Keratolytic
65
"Homograft"
Allograft
66
"Heterograft"
Xenograft
67
Type of graft that uses skin from the same species
Allograft
68
Type of graft that uses skin from different species
Xenograft
69
Type of graft that uses patient's own skin
Autograft
70
A permanent type of graft
Autograft
71
Cadaver or Donor skin
Allograft
72
Pig's skin
Xenograft
73
Source of autograft in the body
Cheek, Hip, Buttocks, Stomach
74
Two types of Biosynthetic graft
Laboratory Grown and Artificial
75
Biosynthetic graft: (+) collagen and synthetics
Laboratory Grown
76
Biosynthetic graft: (+) synthetics only
Artificial
77
Type of graft where the donor's skin composed of epidermis and upper dermis skin layer
Split Thickness Graft
78
Type of graft where the donor's skin composed of epidermis and whole dermis skin layer
Full Thickness Graft
79
Four Other Names of Pressure UIcer
Pressure Sore, Bed Sore, Ischemic Ulcer and Decubitus Ulcer
80
How often do you need to do bed turning in patients with pressure ulcers?
Every 2 hours
81
How often do you need to do wheelchair turning in patients with pressure ulcers?
Every 15-20 minutes
82
The most common site of pressure ulcer in adults
Sacrum
83
The most common site of pressure ulcer in children
Occiput
84
Stage of Pressure Ulcer: (+) Superficial Skin Loss
Stage 1
85
Stage of Pressure Ulcer: (+) Partial Thickness Skin Loss
Stage 2
86
Stage of Pressure Ulcer: (+) Full Thickness Skin Loss
Stage 3
87
Stage of Pressure Ulcer: (+) Full Thickness Skin Loss up to fascia, muscle and bones
Stage 4
88
Stage of Pressure Ulcer: (+) Abrasion, shallow crater and blister
Stage 2
89
Stage of Pressure Ulcer: (+) Deep Crater (+/-) Undermining or Tunneling
Stage 3
90
Stage of Pressure Ulcer: (+) Osteitis and Osteomyelitis
Stage 4
91
Stage of Pressure Ulcer: (+) non-blanchable erythema with pain and itching
Stage 1
92
"Diabetic Ulcer"
Neuropathic Ulcer
93
The most common site of Neuropathic Ulcer
Plantar aspect of Foot
94
Wagner Ulcer Classification: Pre-ulcerative healed ulcer
Stage 0
95
Wagner Ulcer Classification: (+) Bone Deformity
Stage 0
96
Wagner Ulcer Classification: (+) Deep Ulcer in Subcutaneous Tissue
Stage 2
97
Wagner Ulcer Classification: Osteitis, Abcess, Osteomyelitis
Stage 3
98
Wagner Ulcer Classification: Gangrene of Toes
Stage 4
99
Wagner Ulcer Classification: Gangrene of Foot
Stage 5
100
Wagner Ulcer Classification: (+) Superficial lesion not involving subcutaneous tissue
Stage 1
101
Ulcer: (+) Well-Defined and Deep Shape
Arterial Ulcer
102
Ulcer: (+) Browny and Dry Flakes
Venous Ulcer
103
Ulcer: (+) Thin, shiny, yellow nails and hair loss
Arterial Ulcer
104
Ulcer: (+) Cyanotic on dependency
Venous Ulcer
105
Ulcer: (+) Pallor on Elevation
Arterial Ulcer
106
Ulcer: (+) Rubor on Dependency
Arterial Ulcer
107
Ulcer: (+) Pain and Gangrene
Arterial Ulcer
108
Location of Arterial Ulcer
Lateral Malleolus, Anterior Tibia and Dorsum of foot
109
Location of Venous Ulcer
Medial Malleolus
110
Ulcer: (+) Irregular and Shallow Shape
Venous Ulcer
111
Ulcer: (+) decreased temperature
Arterial Ulcer
112
Ulcer: (+) Moderate and Heavy Drainage
Venous Ulcer
113
Three types of Selective Debridement
Sharp, Autolytic, Enzymatic
114
Type of selective debridement done by a PT with no anesthesia using scalpel and forceps to remove necrotic tissue
Sharp Debridement
115
Type of selective debridement that uses the body's own natural mechanism to remove necrotic tissue
Autolytic Debridement
116
Type of selective debridement that uses the application of enzyme (topical drug) to remove necrotic tissue
Enzymatic Debridement
117
Type of selective debridement: (+) Enzyme and Dressing
Autolytic Debridement
118
Type of selective debridement: (+) Enzyme and (-) Dressing
Enzymatic Debridement
119
The least effective way to remove necrotic tissue
Whirlpool
120
Debridement medication use with clean wound and clear exudate
Normal Saline Solution
121
Debridement medication use with infected wound and green exudate with pus or foul-smelling
Povidine Iodine, Sodium Hypochloride and Hydrogen Peroxide
122
PT management that uses vacuum-assisted closure
Negative Pressure Wound Therapy
123
PT management that uses inhalation of 100% oxygen
Hyperbaric Oxygen
124
What charged pat will you put in clean wounds when using electrical stimulation?
Anode (+)
125
What charged pat will you put in infected wounds when using electrical stimulation?
Cathode (-)
126
Three dry wound dressings
Hydrogel, Wet-to-Wet, Transparent Film
127
Two minimal to moderate dressing
Hydrocolloid, Wet-to-Dry
128
Three moderate to heavy dressing
Calcium Alginate, Semi-permeable, Dry-to-Dry
129
Best dry dressing use for superficial to partial wounds
Hydrogel
130
Best minimal to moderate dressing that is gel-forming
Hydrocolloid
131
Best moderate to heavy dressing use for partial and full-thickness wounds
Calcium Alginate
132
Drainage: Clear, thin, watery
Transudate
133
Drainage: Clear with a tinge of brown-red hues
Serous Anguineus
134
Drainage: Yellowish, creamy Thick
Exudate
135
Drainage: Yellow-brown with moderate to heavy thickness
Pus
136
Drainage: Green, blue, yellow, hues with a thick foul smell
Infected Pus
