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11 Cards in this Set
- Front
- Back
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Define the following: Primary Wound Closure? |
Suture wound closes immediately (aka "first intention") |
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Define the following: Secondary Wound Closure? |
Wound is left open and heals over time without sutures (aka "secondary intention"); it heals by granulation, contraction, and epithelialization over weeks (leaves a bigger scar) |
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Define the following: Delayed Primary Closure (DPC)? |
Suture wound closes 3-5 days AFTER incision (classically 5 days) |
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How long until a sutured wound epithelializes? |
24-48 hours |
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After a primary closure, when should the dressing be removed? |
POD #2 |
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When can a patient take a shower after a primary closure? |
Anytime after POD #2 (after wound epithelializes) |
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What is a wet-to-dry dressing? |
Damp (not wet) gauze dressing placed over a granulating wound and then allowed to dry to the wound; removal allows for "microdebridement" of the wound |
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What inhibits wound healing? |
- Infection - Ischemia - Diabetes mellitus - Malnutrition - Anemia - Steroids - Cancer - Radiation - Smoking |
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What reverses the deleterious effects of steroids on wound healing? |
Vitamin A |
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What is an abdominal wound dehiscence? |
Opening of the fascial closure (not skin); treat by returning to the OR for immediate fascial reclosure |
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What is Dakin solution? |
Dilute sodium hypochlorite (bleach) used in contaminated wounds |
