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Flashcards in Wound Management Deck (21):
1

How do we sterily prep a wound?

Clip and use sterile lube, scrub with surgical scrub, lavage with sterile material flush of some sort ?

2

Removal of necrotic tissue.

Debridement

3

Two types of debridement.

Mechanical and non-mechanical

4

What are drains placed for?

Removal of fluid, reduce dead space, abscesses

5

What is the most common drain?

Penrose drain

6

Three types of bandages for wounds?

Wet to dry, dry to dry, wet to wet

7

What are dry to dry bandages used for?

Necrotic tissue

8

What are wet to dry bandages used for?

Dried or semi dry exudates

9

What is used for moisten bandages?

Saline or chlorexadine

10

What are wet to wet bandages used for?

For wounds with large amounts of exudates

11

Four phases of wound healing?

Inflammatory, debridement, repair, maturation

12

What happens during the inflammatory phase?

5-10 minutes after wound, hemmorage, blood vessel constrict, blot clots and forms scab

13

What happens during the debridement phase?

6 hours after injury, cells remove bacteria from wound and wounds exudates

14

What happens to the repair phase of a wound?

3-5 days, collegian adds wound strength, capillaries appear in wound

15

What happens during maturation phase?

Wound strength at the maximum, may take weeks to years

16

What factors affect the time of healing?

Age, disease, drugs used, nutritional status, contamination, blood supply, infection, movement

17

When is the optimal time to close a wound?

Primary wound closure- 6-8 hours after wound because bacteria hasn't been able to multiply

18

When is considered delayed primary closure?

1-2 days after wound is closed

19

When does second intention healing take place?

Wounds healed without manual closure

20

When is third intention healing?

Suture at 3-5 days after granulation occurs to control infection of severely dirty wounds

21

What are the three steps of wound treatment?

Evaluation, assess size and location and treat and protect