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14 Cards in this Set
- Front
- Back
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Name the Stages of Pressure Ulcer development
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Stage I
Stage II Stage III Stage IV |
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Describe Stage I pressure ulcer
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Pressure ulcer appear as nonblanchable erythema, tissue swelling, and congestion; patient complaints of discomfort. Skin temperature is elevated, and the redness progresses to a dusky cyanotic blue-gray color due to capillary occlusion and subcutaneous weakening.
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Describe Stage II pressure ulcer
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Pressure ulcers appear as a break in the skin through the epidermis or dermis. An abrasion, blister, or shallow crater may be seen. Necrosis follows. There is also venous sludging, thrombosis, edema with cellular extravasation, and infilitration.
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Describe Stage III pressure ulcer
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Pressure ulcers extend into the subcutaneous tissues and appear as a deep crater with or without undermining of adjacent tissues.
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Describe Stage IV pressure ulcer
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Pressure ulcers extend into the underlying structures, including the muscle and bone. The skin lesion may appear small, while a very large and deep ulcerated area is underneath.
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What is a common treatment for Stage I pressure ulcer?
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Ulcer is relieved by reducing pressure and any other contributing factors.
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What is a common treatment for Stage II pressure ulcer?
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In addition to the above, ulcers require treatment for broken skin with a moist dressing (moisture aids healing).
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What is a common treatment for Stage III & IV?
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Ulcers require debridement through wet-to-dry dressings, prescribed enzyme treatment (which dissolves necrotic tissue), flushing of exudate, or surgical debridement.
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Name the classification of burns
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Superficial partial-thickness
Deep partial-thickness Full thickness |
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Describe Superficial partial-thickness burns
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Superficial partial-thickness burns involve injury or destruction of the epidermis as well as a portion of the dermis. The skin may appear re and dry or be blistered, and the injury is painful.
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Describe Deep partial-thickness burns
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Deep partial-thickness burns involve destruction of the epidermis and the upper layer of the dermis as well as injury to deeper portions of the dermis. The wound is painful, appears red, and exudes fluid. Capillary refill follows tissue blanching, and hair follicles remain intact.
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Describe Full thickness burns
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Full-thickness burns involve total destruction of the epidermis, the dermis, and in some cases, the underlying tissue. The color of the burned area ranges from white to red. The wound appears like leather; hair follicles and sweat glands are destroyed.
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Name categories of Inflammatory Tissue Trauma
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Inflammatory Bowel disease
Diverticulitis Gastritis Peptic ulcer Appendicitis Cholecystitis Systemic Lupus Erythematosus (SLE) |
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Name the two chronic conditions inflammatory bowel disease refers to:
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Crohn's disease
Ulcerative colitis AKA Granulomatous Colitis |
