front 1 Dehiscence | back 1 separation of outer wound layers |
front 2 Evisceration | back 2 rupturing of a wound |
front 3 Eschar | back 3 hard, dry, leathery daed tissue |
front 4 graunlation tissue | back 4 new tissue developing between two cavities in a wound |
front 5 Surgical incision | back 5
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front 6 Abrasions | back 6 superficial open wound
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front 7 Lacerations | back 7 open wound made by accidental cutting or tearing of tissue
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front 8 Puncture wound | back 8 open wound when a sharp item pierces the skin
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front 9 Penetrating wounds | back 9 similar to a puncture wound
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front 10 Pressure ulcers | back 10 wound resulting from pressure
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front 11 Deep tissue injury | back 11 area over a bony prominence that differs from surrounding tissue; may be blister- like or a discoloration |
front 12 stages of pressure ulcers | back 12
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front 13 unstageable | back 13 eschar covers the wound, making it impossible to tell the depth |
front 14 Slough | back 14 avascular, devitalized tissue -necrotic -can be white, yellow,tan, gray |
front 15 risk factors for pressure ulcer development | back 15
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front 16 venous stasis ulcer | back 16 develop when venous blood flow is sluggish
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front 17 Arterial ulcer | back 17 distal portion of the lower extremity, over ankle or bony areas of foot (top of the foot or toe, outside edge of the foot) -deep with "diff" edges |
front 18 Diabetic Ulcer | back 18 on the foot- at mid foot- ball of the foot, over the metatarsal heads, or on top of toes with Charcot deformity -often very small -dry (necrotic) |
front 19 hemostasis | back 19 immediate- minutes to hours goal is to stop bleeding and form a stable clot. |
front 20 inflammatory phase | back 20 hours-3 days; sometimes up to 5-7 days goal: clean up invaders and debris; cal in repair crew |
front 21 proliferation phase aka- reconstruction | back 21 goal: fill the defect and over it |
front 22 maturation phase aka: remodeling phase | back 22 starts when wound is closed, strengthens the scar |
front 23 types of wound closures for healing | back 23
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front 24 factors affecting wound healing | back 24
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front 25 chronic illness | back 25 illness affecting major body systems (heart,lung,kidney,neuro) |
front 26 diabetes mellitus | back 26 causes decreased circulation due to narrowed peripheral blood vessels. |
front 27 hypoxemia | back 27 decreased oxygen delivered to the wound via the bloodstream caused impaired healing |
front 28 lymphedema | back 28 area around the wound is edematous |
front 29 radiation exposure | back 29 causes breakdown of underlying connective tissue |
front 30 wound tension | back 30 extra tension placed on the wound edges can lead to ischemia and necrosis |
front 31 sangulneous | back 31 red, bloody |
front 32 serous | back 32 clear to pale yellow |
front 33 serosanguineous | back 33 blood and serous fluid-light red to pink |
front 34 purulent | back 34 thick drainage-various colors |
front 35 billous | back 35 dark greenish-often after gallbladder surgery |
front 36 hemovac | back 36 active drain uses suction |
front 37 Jackson-pratt | back 37 active drain uses suction |
front 38 T-tube | back 38 passive drain uses gravity |
front 39 penrose | back 39 open drain; not commonly used because can provide pathway for pathogens |
front 40 hydrophilic foam dressing | back 40 super absorbent-moderate to heavy exudating wounds |
front 41 hyrdofiber dressing | back 41 for wounds with large amount of drainage |
front 42 medihoney dressing | back 42 provides a most environment conductive to wound healing and is indicated for lightly to moderately exuding wounds |
front 43 hydrogel dressing | back 43 provides moisture to wound -soothing and cooling -use for wounds with minimal drainage |
front 44 polyvinyl dressing | back 44 sem-permable- allow oxygen in, keep bacteria out |
front 45 negative pressure wound therapy | back 45 uses gentle. negative pressure to remove drainage and contaminants, a canister collects drainage |
front 46 pico dressing | back 46 negative pressure dressing-less negative pressure |
front 47 wet to damp/ wet to dry | back 47 must fill entire wound including tunneling and or undermining squeeze out excess liquid before starting to pack-do not want it dripping wet -pack wound loosely-light ad fluffy |
front 48 cold therapy | back 48 best the first 24 to 48 hours after an acute injury |
front 49 heat therapy | back 49 when the goal is comfort |
front 50 cryotherapy (cold therapy) | back 50 decreases pain and swelling by slowing blood flow -checking the skin often |
front 51 heat therapy (themotherapy) | back 51 used for sub-q or chronic problems muscle or joint pain -not appropriate for new injury-can worsen the injury |
front 52 what should you document for hot cold therapy? | back 52 what, where, when, settings, response, safety, policy |