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25 Cards in this Set
- Front
- Back
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What two substances/structures are elevated in septic pt?
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glucose and platelets
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What is the name of the tissue that we would debride? and why debride it?
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devitalized tissue -- BIG problem
B -- harbors Bacteria I -- can cause Infection G -- stops Granulation |
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red tissue =
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good tissue, we want granular tissue
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Identifying characteristics of pressure ulcer stages 1-4
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1) non-blanchable redness
2) partial thickness of skin (epidermis and maybe dermis) 3) full thickness of skin and into Sub-Q fat 4) all of above and into muscle, bone, etc. |
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mummified ulcer?
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skin is not broken, do not break it. Black, dried dead tissue. It is not infected so don't worry about it young man.
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How to treat black escar?
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need to get underneath it and remove...done in OR. You can see the cellulitis on the sides of it as opposed to the mummified wound
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3 ways to debride tissue
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1) surgical (may involve anesthesia)
2) chemical 3) hydrotherapy (irrigation, whirlpool, etc.) |
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4 positive actions/characteristics of honey are..
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1) anti-bacterial (by way of H2O2)
2) stimulates granulation 3) decreases scar formation 4) taste great on bob evans' biscuits |
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example of a good time to use a wound vac
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surgery performed but not able to place abdominal contents back into abdomen for fear of compartment syndrome and the blocking of blood flow back to the heart
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What two things do you do with non-healing wounds?
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1) consider a malignancy
2) biopsy |
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Another way Pt's can prevent infection
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early ambulation/mobilization
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Goals of wound therapy
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1) remove infection
2) remove devitalized tissue 3) promote granulation 4) skin epithelization |
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Antibiotics to a patient with an abscess only if..
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1) immuno-compromised
2) vascular compromised 3) cellulitis 4) diabetes |
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3 types of Postop infections
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1. Directly d/t surgery (abscess, wound infection)
2. community aq'd (gastroenteritis) 3. Nosocomial (due to inutubation, lack of mobility, and contamination of personnel/equipment) |
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When may you initially suspect a postop infection?
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1. Slow unusual postop course (prolonged ileus)
2. more than expected pain 3. Fever |
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How many fevers are due to infections (and wound infections)
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Infections <50%
Wound infections <10% |
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5 W's of Fever
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Wind: respiratory tract
Water: urinary tract Walking: veins, DVT Wounds What did we do? antibiotics, IV lines, blood products |
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What will be included in your pt examination? .... or doc's examination i guess
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Vital signs, check IV sites, check sinuses/ears, check wound, listen to lung. Chest x-ray and urinalysis
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When will a pt. be treated with Acetaminophen?
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Need to dec oxgen consumption
Need to dec metabolism Need to prevent seizure Diagnosis is made and pt is misderable d/t fever |
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When will a pt. be treated with antibiotics for fever?
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Generally not unless definite source identified
Septic looking pt. We want to get cultures first |
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Other txs of fever/infection
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Oxygen
fluids CV and respiratory support |
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How can we help to determine a wound infection with a sharpie?
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Mark edges of erythema and date/time it
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What is a sinus tract?
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One spot that hasn't healed - granulation tissue. Could be a suture or infected bone
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What is wound dehiscence?
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Wound separated b/c of pocket of blood. Treat with topical thearpy. Looks bad but it's aight
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Why remove devitalized tissue?
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Harbors bacteria: colonization and can becomea source of infection
Hinders granulation and epithelialization |
