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7 Cards in this Set

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  • Back
What are the progression stage of a pressure ulcer?
1) Nonblanchable erythema of intact skin; 2) Partial thickness skin loss involving epidermis or dermis 3) Full thickness skin loss involving damage or necroseis of subcutaneous tissue that may exted to but not through underlying fascia; 4) Extensive destruction, tissue necrosis or damage to msucle, bone, or supporting structures with or without full-thickness skin loss.
What is the difference between primary intention and secondary intention?
Primary intention is when a wound is healed with edges that are approximated as in surgical wound. Where secondary intention mean that it is healed from the base up, it is an open wound that needs lay down new skin through granulation...grafting etc....
Where are the most common spots for pressure ulcers and what stage do they present?
the most popular sites are the sacrum and heels. The sacrum is often a superficial wound due to friction and sheering, where the heels, trochanter and ishium are usually deeper due to pressue and lack of o2.
Can all pressure ulcers be staged?
No due to either being a blister or covered in eschar or necrosis that needs to be romoved or can't be removed because its on the heels and that is like a bandaid that should not be removed.
Is the current trend to keep the pressure ulcer dry or moist?
To keep it moist to encourage epithelialization.
What type of dressing should never be used on a pressure ulcer?
A wet-to-dry dressing should never be used on a clean granulating pressure ulcer, this type should only be used for mechanical debridement.
T/F Stage II-IV Pressure ulcers are considered contaminated with bacteria.
Stage II-IV pressure ulcers are considered contaminated with bacteria, so persons with immunosuppressed systems may not always exhibit the normal signs of immune response, erythema, fever, pain, warmth, purulent exudate, etc...)