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31 Cards in this Set

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maceration
softening of tissue due to excessive moisture
dermatitis
an inflammation of the skin, often produces epidermal and dermal damage/ irritation
pain, itching, redness, blisters
what are the 2 broad categories of wounds?
1) accidental
2) surgical
abrasion
when skin rubs up against a hard surface
laceration
a open wound or cut
puncture
when a sharp, pointed object penetrates tissue
friction
when two surfaces rub together
shear
force occurs when tissue layers move on each other, causing blood vessels to stretch
stage 1 PU
intact skin with nonblanchable redness of localized area, usually over a bony prominence
stage 2 PU
partial thickness loss of dermis presenting a shallow open ulcer with red-pink wound bed, without slough
stage 3 PU
full thickness tissue loss.
stage 4 PU
full thickness tissue loss with exposed bone, tendon, or muscle
what are 4 phases of wound healing?
1) hemostasis
2) inflammatory phase
3) proliferative phase
4) maturation
epithelialization
process in which epidermal cells appear pink in color, reproduce and migrate across the surface of the partial-thickness wound
granulation tissue
soft pink highly vascularized connective tissue formed during wound repair
what are the major types of wound healing?
primary, secondary, tertiary
primary intention/healing
wounds with minimal tissue loss, such as a clean surgical incision or shallow sutured wound
secondary intention/healing
wounds with full thickness tissue loss, such as deep lacerations and pressure ulcers
tertiary intention/ healing
when delay ensues between injury and wound closure, when deep wound is not sutured immediately
hematoma
a localized collection of blood
dehiscence
a total or partial disruption in wound edges
evisceration
the protrusion of viscera through abdominal wound opening
serous
drainage is pale yellow, watery and like the fluid from a blister
sanguineous
drainage is bloody as from an acute laceration
serosanguineous
drainage is pale pink-yellow, thin and contains plasma and red cells
purulent
drainage contains white cells and microorganisms and occurs when infection is present. it is thick and opaque and can vary from pale yellow to green or tan
denuded skin
the loss of the epidermal layer of skin
binders
used to support a specific body part or to hold dressings in place
tunneling
a narrow passageway in the soft tissue of an open wound
undermining
an area of tissue destruction under the edge of the wound opening
debridement
the removal of foreign material or dead tissue from a wound to discourage the growth of microorganisms and to promote healing