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15 Cards in this Set
- Front
- Back
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What type of wounds are prone to tetanus?
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large, deep wounds with devitalized tissue
- >6 hours - stellate, avulsion, abrasion - >1 cm - Missile crush, burn, frostbite - Signs of infection |
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What type of wounds are not tetanus-prone?
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- <6 hours
- linear - <1cm - sharp surface - no signs of infection |
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What sort of wounds require antibiotic prophylaxis?
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cellulites
contaminated wounds immunocompromised extrensive injuries central area face valvular disease prostheses lymphedematous extremeties bites |
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What is primary healing?
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suturing
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What is secondary healing?
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scabbing
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What is tertiary healing?
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delayed closure
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How do small or superficial or puncture wounds heal?
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secondarily within 2 weeks
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What are the advantages of primary closure in acute clean wounds?
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eliminates need for extensive care
healed state more quickly minimizes discomfort prevents bacterial contamination protects wound from trauma minimal drainage facilitates epithelialization 24 hours water tight seal |
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With an acute wound with foreign body or necrosis, what do you do?
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High pressure irrigation with saline
Debridement Tertiary closure |
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If a wound is older than 6-8 hours, can you close it?
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No
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True or False: With a human bite, bacterial contamination is less of a worry.
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False
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How do you irrigate a wound?
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30-60cc syringe with a 19 gauge needle/angiocath
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How do partial-thickness injuries primarily heal?
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by epithealization
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True or False: Scabbing increases the rate of healing.
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False: Scabbing slows epithelialization
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Necrotic tissue or foreign bodies require what sort of dressing?
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wet-to-dry
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