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22 Cards in this Set

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  • Back
This type of intention is expected when the edges of a clean surgicla incision remain close together?
This type of intention the wound is left open and allowed to heal by scar formation (granulation)?
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
This color of wound bed means viable tissue, ready for healing?
This color of wound bed has fibrous slough, old tissue or exudate, and must be removed for healing to occur?
this color of wound bed has eschar dead tissue, must be removed
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?
normal saline
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.
commercial wound cleansers
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.
Povidone Iodine (Betadine)
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.
Hydrogen peroxide
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.
Sodium Hypochlorite (Dakin solution)
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.
What are the five types of debridement?
irrigation, wet to dry dressing,sharp, enzymatic, and autolytic
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.
Jackson pratt, VacuDrain, Constavac, Hemovac are examples of what type of drainage system
Changes in temperature around wound could indicate what?
No pain involving wound could indicated what?
nerve damage
severe pain or increasing pain may indicate what?
When applying steri-strips you may use _____ fo benzoine on the edges of wound to make them stick better.
When you have patients requiring multiple dressing changes consider using what?
montgomery straps
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).
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).