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40 Cards in this Set
- Front
- Back
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any lesion caused by unrelieved pressure
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Pressure ulcer / Decubitus ulcer
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A compressing downward force on a body area
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Pressure
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A deficiency in the blood supply to the tissure
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Ischemia
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When pressure is relieved, the skin takes on a bright red flush
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Reactive hyperemia
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A process in which extra blood floods to the area to compensate for the preceding period of impeded blood flow
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Vasodialation
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A force acting parallel to the skin surface
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Friction
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A combination of friction and pressure, occurs commonly when a client assumes a Fowler's position in bed.
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Shearing force
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Referes to the reduction in the amount and control of movement a person has
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Immobility
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Moisture from incontinence promotes skin tissue to soften
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Maceration
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Area of loss of the superficial layers of the skin also kow as the denuded area
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Excoriation
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Healing or the renewal of tissues
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Regeneration
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Occures where the tissue surfaces have been approximated(closed) and there is minimal or no tissue loss
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Primary intention healing
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To close the skin faces
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Approximated
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A wound that is extensive and involves considerable tissue loss, and in which the edges cannot or should not be approximated, heals in this way
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Secondary intention healing
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Wounds are lefte open for 3-5 days to allow edema or infection to resolve and then it is closed with sutures.
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Tertiary Intention
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Cessation of bleeding
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Hemostasis
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An insoluble protein formed from firbrinogen during the clotting of blood
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Fibrin
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Macrophages engulf microorganisms and cellular debris by this process
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Phagocytosis
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A whitish protein substance that adds tensile strenth to the wound.
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Collagen
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Young connective tissue with new capillaries formed in the wound healing process
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Grandulation Tissue
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Thick necrotic tissue produced by burning, by a corrosive application, or by death of tissue associated with loss of vascular supply, bacterial invasion, and putrefaction
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Eschar
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A hypertrophic scar containing an abnormal amount of collagen
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Keloid
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Inflammatory material consisting of a combination of clear and blood-tinged drainage
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Serosanguineous Exudate
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Inflammatory material composed of clear portions of blood,
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Serous Exudate
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An exudate consisting of leukocytes, liquefied dead tissue debris, and dead and living bacteria
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Purulent Exudates
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A thick liquid associated with inflammation and composed of cells, liquid, microorganisms, and tissue debris
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Pus
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The formation of pus
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Suppuration
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Bacteria that produces pus
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Pyogenic Bacteria
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An exudate containing large amounts of red blood cells
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Sanguineous Exudate
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Excessive loss of blodd fromthe vascular system
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Hemorrhage
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A collection of blood in a tissue, organ, or space due to a break in the wall of a blood vessel
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Hematoma
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The partial or total rupturing of a surtured wound
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Dehiscence
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Extrusion of the internal organs
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Evisceration
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Removal of infected and necrotic tissue
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Debridement
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Filling an open would or cavity with a material such as gauze
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Packing
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A strip of cloth used to wrap some part of the body
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Bandage
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A type of bandage applie to large body areas or for a specific body part; used to provide support
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Binder
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A moist gauze dressing applie frequently to an open wound, sometimes medicated
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Compress
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Used to soak a client's pelvic area; also freffered to as a hip bath
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Sitz Bath
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A decrease int he caliber (lumen) of blood vessels
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Vasoconstriction
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