Wounds, Wound management and Drains

Question 1

a surgically created wound can be classified as:

Answer 1

a clean wound

Question 2

a surgically created wound into the mucosa of the stomach is classified as:

Answer 2

a clean contaminated wound

Question 3

a HBC with multiple lacerations comes in; we can classify these wounds as:

Answer 3

clean-contaminated wounds

Question 4

an incision made into an abscess can be classified as:

Answer 4

a dirty wound

Question 5

the most common source of operative wound infections is: a. you b. the operating room c. surgical instruments d. the patient

Answer 5

the patients endogenous flora

Question 6

surgical site infection can occur within ____ days of surgery or up to ____ days with implants

Answer 6

30 days post op; 365 days (one year) with implants

Question 7

T/F intraoperative administration of antibiotics when suspected contamination occurs during surgery or when surgery is longer than expected, has been shown to decrease incidence of infection.

Answer 7

False; while commonly done it has NOT been shown to decrease or increase incidence of infection

Question 8

how does healing of superfical wounds differ in dogs and cats:

Answer 8

the SC plans an important role in healing for cats more than in dogs

Question 9

what diagnostic tests would you consider before anesthetizing a dog that comes in from traumatic bite wounds?

Answer 9

rads! for pneumothorax baseline CBC/chem

Question 10

what type of injury is this wound?

Answer 10

anatomic degloving injury

Question 11

You have a patient with a draining tract from an old wound that seems to only heal while on antibiotics. How would you classify this wound and what can you do to make it heal properly?

Answer 11

non-healing wound; remove suspected foreign body

Question 12

What is the best diagnostic tool to use to help us identify plant foreign bodies intra-op or before surgery?

Answer 12

ultrasound

Question 13

what stain can you use in a tract prior to surgery to help locate a foreign body and follow the correct tract to the FB?

Answer 13

methylene blue stain

Question 14

what is the “golden period”

Answer 14

time from injury til time from contamination and bacterial invasion of a wound

Question 15

what type of particles inactive PMNS and can bind positively charged antibiotics, and thus can potentiate infection of wounds?

Answer 15

clays and organic soils*

be diligent about flushing these wounds

Question 16

what is the first step when a traumatic wound patient enters your hospital?

a. assess neurological function
b. bandage wound
c. assess entire patient and perform PE
d. debride and clean wound

Answer 16

c. assess entire patient and perform PE

Question 17

up to ___% of bacteria can be removed with wound lavage

a. 100%
b. 90%
c. 80%
d. 70%

Answer 17

b. 90%

Question 18

what time of solution would you use for wound lavage on a granulating wound

a. tap water
b. saline
c. chlorohexidine and sterile water
d. chlorohexadine and sterile saline

Answer 18

b. saline

Question 19

what is the residual activity of a povidone-iodine lavage solution?

Answer 19

4-6 hours

Question 20

what is the debriding agent in granulex chemical debridement?

Answer 20

trypsin

Question 21

which of the following is an example of mechanical debridement:

a. wound lavage with saline on a wound filled with granulation tissue
b. application of honey for a wound on a limb to be bandaged

using the primary layer of a bandage to soak up exudate and tissue

Answer 21

using the primary layer of a bandage to soak up exudate and tissue

Question 22

what kind of dressing would you use for an early wound like this?

a. wet-dry aderent dressing
b. dry-dry adherent dressing
c. porous-non/low adherent dressing
d. no wound dressing

Answer 22

a. wet-dry aderent dressing

Question 23

what kind of wounds would an immediate closure be indicated?

Answer 23

clean wounds and some clean contaminated wounds

Question 24

how would you classify this surgical closure?

Answer 24

primary closure

Question 25

a wound that was left open for a couple of days to allow epeated debridment then sutured closed later would be classified as:

Answer 25

delayed primary closure

Question 26

a wound closure after granulation tissue has been allowed to cover the would would be classified as:

Answer 26

secondary closure

Question 27

what kind of stitch is this?

Answer 27

ford interlocking

Question 28

in which kind of closure or healing would you see contraction and epithelialization?

Answer 28

second intention healing

Question 29

T/F you should try to make incision lines or wound closures parallel to skin tension lines of possible because they heal faster, are more aesthetic, and gape less

Answer 29

true

Question 30

T/F when undermining skin you should undermine below the cutaneous trunci muscle using blunt dissection

Answer 30

true

Question 31

what kind of suture patterns would you use with stents used to distribute pressure on skin

Answer 31

mattress sutures

Question 32

what method was utilized here to help close the lesion? what type of suture pattern was used?

Answer 32

multiple punctate relazing incisions; intradermal suture pattern