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17 Cards in this Set

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Serous-Drainage
-Serum from the body
-Clear
-Watery
-Plasma-like
Sanguinous Drainage
Bloody
Serosanguinous Drainage
Blood and Serum
Pale and thin
Contains plasma and red blood cells
Purulent
Pus
Pale yellow to green
Contains WBC and organisms
Indicates Infections
Common types of dressings
Dry
Wet to Dry
Pressure
Absorptions
Dry Dressing
Wound healing w/ little/no drainage.
Protect wound from injury.
Prevents intorduction to bacteria.
Reduces discomfort.
Speeds healing.
Use on abrasion, non-draining, post-op.
Not used for debridement.
Mositen sterile normal salone to reduce trauma(if dry dressing adheres to wound during removal)
Wet-to-Dry Dressings
Primary purpose is mechanical debridement with removal of dressing.
Gauze, Nugauze, rolled gauze moistend with solutions.
covered with dry dressing
Pressure Dressing
Used for temporary control of excessive bleeding following:
-Trauma
-Surgery
Puncture
May stop bleeding
May be combined w/ sandbag use.
Absorption Dressing
Non-Adhesive, non-occlusive dressings used in combination w/ other dressings.
For full thickness wounds w/ mod.-lg. amt. of drainage.Include Calcium-Sodium Alginate Dressings:-Made from seaweed
-Gel is placed over wound with w/exudate.-Allows for easy removal/little risk of retained material in deep wound.
Controls odors and pain.
Comes in paste, granules, sheeting or rope form.
Pressure Ulcer-Stage 1
Redness-non blanchable erythema of intact skin.
May be initial lesion of skin ulceration or bedsores.
Reversible if pressure is releived.
Pressure Ulcers-Stage II
Partial-thickness skin loss involving epidermis or dermis.
Ulcer is superifical, appears as a abrasion, blister, or shallow crater.
Can heal in wks if covered and treated.
Pressure Ulcer-Stage III
Full-thickness skin loss involving damage or necrosis of Subcutaneous tissue that may extend down to, but not through underlaying fasica.
Ulcer appears a deep crater.
Takes months to heal with treatment.
Pressure Ulcer-Stage IV
Full-thickness skin loss w/ extensive destruction, tissue necrosis, black eschar, damage to muscle, bone or supporting structure.(Tendons, joint capules, ect..)
Takes a year or longer to heal.
Burns Assessment
1st Degree
-least severe, reddened area, SUNBRURN
2nd Degree
-Blisters are formed
3rd Degree
-Skin is charred/non-existent
-Severe fluid loss, nerve destruction
-Requires debridement and grafting.
Primary Intention
-Well approximated wound
-Minimal scarring
-Low risk of infection
Example:
Surgical incisions
Shallow sutured incisions
Superficial lacerations
Secondary Intention
-Wounds w/ tissue lose
-Granulation tissue gradually fills wound from inside out.
-Scarring occurs
-Increased risk of infection
Example:
Deep lacerations, Burns, pressure sores
Tertiary Intention
-Wound where there is a delay b/t injury and closure
-Deep wound left open to heal.
-Produces a wide scar.
-High risk of infection
Example:
Wound dehiscence