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17 Cards in this Set
- Front
- Back
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Serous-Drainage
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-Serum from the body
-Clear -Watery -Plasma-like |
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Sanguinous Drainage
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Bloody
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Serosanguinous Drainage
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Blood and Serum
Pale and thin Contains plasma and red blood cells |
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Purulent
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Pus
Pale yellow to green Contains WBC and organisms Indicates Infections |
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Common types of dressings
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Dry
Wet to Dry Pressure Absorptions |
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Dry Dressing
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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) |
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Wet-to-Dry Dressings
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Primary purpose is mechanical debridement with removal of dressing.
Gauze, Nugauze, rolled gauze moistend with solutions. covered with dry dressing |
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Pressure Dressing
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Used for temporary control of excessive bleeding following:
-Trauma -Surgery Puncture May stop bleeding May be combined w/ sandbag use. |
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Absorption Dressing
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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. |
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Pressure Ulcer-Stage 1
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Redness-non blanchable erythema of intact skin.
May be initial lesion of skin ulceration or bedsores. Reversible if pressure is releived. |
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Pressure Ulcers-Stage II
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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. |
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Pressure Ulcer-Stage III
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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. |
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Pressure Ulcer-Stage IV
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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. |
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Burns Assessment
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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. |
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Primary Intention
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-Well approximated wound
-Minimal scarring -Low risk of infection Example: Surgical incisions Shallow sutured incisions Superficial lacerations |
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Secondary Intention
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-Wounds w/ tissue lose
-Granulation tissue gradually fills wound from inside out. -Scarring occurs -Increased risk of infection Example: Deep lacerations, Burns, pressure sores |
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Tertiary Intention
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-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 |
