Final

Front 1

This type of intention is expected when the edges of a clean surgicla incision remain close together?

Back 1

primary

Front 2

This type of intention the wound is left open and allowed to heal by scar formation (granulation)?

Back 2

second

Front 3

This intention "delayed primary intention or closure", surgical would not closed immediately but left open for 3-5 days to allow edema or infection to diminish

Back 3

tertiary

Front 4

This color of wound bed means viable tissue, ready for healing?

Back 4

red

Front 5

This color of wound bed has fibrous slough, old tissue or exudate, and must be removed for healing to occur?

Back 5

yellow

Front 6

this color of wound bed has eschar dead tissue, must be removed

Back 6

black

Front 7

This is the most commonly used irrigating solution, does not include any surfactants to lift bacteria and debris, so won't clean well in dirty, necrotic wounds, does not include preservatives to prevent microbial growth, and should be discarded in as little as 24 hours after opening?

Back 7

normal saline

Front 8

These type of solutions are designed specifically to remove or soften necrotic tissue and debris, example, constant-clens. Most are non-toxic and may come in a spray application bottle. Clean from center of wound outward to edges. After cleansing, pat dry with sterile pad.

Back 8

commercial wound cleansers

Front 9

This solution is not effective at killing bacteria at concentrations that are safe to use on healing tissues. May be used an initial cleaning of grossly contaminated wounds. Should be irrigated out of the wound with NS. Dries and discolors skin, may cause local irritation to periwound skin.

Back 9

Povidone Iodine (Betadine)

Front 10

This solution is cytotoxic to healthy cells and granulating tissue. Effervescent cleansing action helps to lift debris from wound surface when used at full strength. If used at full strength, irrigation with NS after use is recommended. Ineffective at killing bacteria and should not be used on wounds with sinus tracts.

Back 10

Hydrogen peroxide

Front 11

This solution is cytotoxi to healthy cells and granulating tissues and is not recommended by AHCPR guidlines. Bactericidal effect against most organisms commonly found in open wounds, sometimes used in pressure ulcers with necrotic tissue to help control infection. Occasionally used over cancerous growths to control bacteria and minimize odor, should not be used for periods longer than 7-10 days.

Back 11

Sodium Hypochlorite (Dakin solution)

Front 12

When irrigating a wound pressure should be between ____ psi and AHCPR guidelines suggest using a 30 ml syringe with an 18-19 gauge angiocath on the tip.

Back 12

4-15

Front 13

What are the five types of debridement?

Back 13

irrigation, wet to dry dressing,sharp, enzymatic, and autolytic

Front 14

This is an open drain system that is sutured into the patient's skin, and is removed about an inch a day to prevent from growing into the skin.

Back 14

penrose

Front 15

Jackson pratt, VacuDrain, Constavac, Hemovac are examples of what type of drainage system

Back 15

closed

Front 16

Changes in temperature around wound could indicate what?

Back 16

infection

Front 17

No pain involving wound could indicated what?

Back 17

nerve damage

Front 18

severe pain or increasing pain may indicate what?

Back 18

infection

Front 19

When applying steri-strips you may use _____ fo benzoine on the edges of wound to make them stick better.

Back 19

tincture

Front 20

When you have patients requiring multiple dressing changes consider using what?

Back 20

montgomery straps

Front 21

This type of therapy promotes vasodilation (improves blood flow, lessens venous congestion), reduces blood viscosity (things blood so that more leukocytes and antibodies get to the wound/area), increases tissue metabolism (increases blood flow thereby increasing warmth), and decreases muscle tension (reduces pain from muscle spasm).

Back 21

heat

Front 22

This type of therapy promotes vasoconstriction (prevents edema formation), increases blood viscosity (thickens blood, promotes coagulation), decreases tissue metabolism (reduces oxygen needs of the tissue), and decreases muscle tension (relieves pain via local anestheis effect).

Back 22

cold