Wounds, Chapter 15 P91-93 Flashcards Preview

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Flashcards in Wounds, Chapter 15 P91-93 Deck (11)
1

Define the following terms:
1. Primary wound closure
P91

Suture wound closes immediately (a.k.a. “first intention”)

2

2. Secondary wound closure
P91

Wound is left open and heals over time without sutures (a.k.a. “secondary intention”); it heals by granulation, contraction, and epithelialization over weeks
(leaves a larger scar)

3

3. Delayed primary closure (DPC)
P91

Suture wound closes 3 to 5 days AFTER incision
(classically 5 days)

4

How long until a sutured wound epithelializes?
P91

24–48 hours

5

After a primary closure, when should the dressing be removed?
P91

POD #2

6

When can a patient take a shower after a primary closure?
P91

Anytime after POD #2 (after wound epithelializes)

7

What is a wet-to-dry dressing?
P91

Damp (not wet) gauze dressing placed over a granulating wound and then allowed to dry to the wound; removal
allows for “microdébridement” of the wound

8

What inhibits wound healing?
P91

Infection, ischemia, diabetes mellitus, malnutrition, anemia, steroids, cancer, radiation, smoking

9

What reverses the deleterious effects of steroids on wound
healing?
P91

Vitamin A

10

What is an abdominal wound dehiscence?
P91

Opening of the fascial closure (not skin); treat by returning to the O.R. for immediate fascial reclosure

11

What is Dakin solution?
P91

Dilute sodium hypochlorite (bleach) used in contaminated wounds