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13 Cards in this Set
- Front
- Back
PSST
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Pressure Sore Status Tool
Measures 13 parameters and assigns a score to each 1) size (length times width) (2) depth (3) edges (4) undermining (5) necrotic tissue type (6) necrotic tissue amount (7) exudate type (8) exudate amount (9) skin color surrounding wound (10) peripheral tissue edema (11) peripheral tissue induration (12) granulation tissue (13) epithelialization |
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Braden Scale
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Predicts pressure sore risk based on: Sensory Perception, moisture, activity, mobility, friction and shear, and nutrition
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Chronic Pressure Ulcer Cleansing
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Perform at every Dressing change Use Normal saline, ringers lactate or noncytotoxic cleanser
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Chronic Pressure Ulcer Dressing
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Hydrocolloid, Hydrogel, hydrofiber, foam, alginate, or silicone
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Chronic Pressure Ulcer adjunctive treatments
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radiant heat, hyperbaric oxygen, VAC, electric stimulation, ultrasound, ultraviolet light, pulsed EM fields
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When are systemic antibiotics indicated for Chronic pressure ulcers?
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Bacteremia, sepsis, advancing celllulitis, osteomyelitis
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How often should patients with pressure ulcers be turned?
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Every Two Hours
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What growth factor can be used in a non-infected chronic diabetic ulcer?
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Becaplermin
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What off-loading techniques can be used with chronic diabetic ulcers?
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Total contact cast, half shoe, walking brace, wedge shoe, shoe cutout
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What should be used to remove slough in chronic venous ulcers?
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Iodoflex
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Adjunctive therapies for chronic venous ulcers
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Hyperbaric oxygen, electrical stimulation, Ultrasound
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What should be considered for chronic venous ulcers if patient cannot tolerate compression?
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Pentoxifylline
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Types of compression for chronic venous ulcers
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Unna boot, unna+coban, setopress, Multilayer system, compression stockings Lymphedema wraps, Ace wraps
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