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12 Cards in this Set
- Front
- Back
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clean wounds are
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surgical
non infected |
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contaminated wounds are
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accidental wounds or surgical incisions that may have been exposed to contaminants
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infected wounds are
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contain microorganisms from contaminents
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surgical wound healing occurs in
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phases
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first intention
approximated with |
sharp clean incision
sutures/staples leaves minimal scarring |
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second intention
later closed by scaring? |
may be left open indefintely to heal by granulation
grafting: healing prolonged scaring is extensive |
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third intention
closed by scaring? |
wound left poten until no evidence of infection remains
surgically closed may require grafting; wider scarring |
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4 wound complications
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hematoma
infection dehiscence evisceration |
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hematoma may require ... if large enough
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surgical removal
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infection presents with
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redness, warmth, purulent drainage possible odor, fever, elevated WBC
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dehiscience
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sudden burst opened of wound edges may have been from excessive bleeding
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what to do it dehis or evis occur?
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low fowlers with knees flexed
notify RN cover w/ sterile dressing soaked in warm sterile normal saline apply gentle presure keep pt still and calm monitor VS for evidence of shock : tachycardia, tachypnea, dyspnea, hypotension prepare for surgery |
