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10 Cards in this Set
- Front
- Back
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Describe removing non dissolving sutures
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get sterile gloves, swabs, sponges, etc. Q? how many sutures? get em all or some of them?
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how do you work on the wound?
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from one end to the other, in a line
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get clean and sterile gloves, sterile suture kit, sterile swabs, clean sponges, sterile adhesive strips, etc
THEN WHAT? |
wash hands
set up sterile field, w/ sterile supplies on it put on clean gloves expose wound remove dressing remove gloves and dressing clean wound inside out, away from center w/ antiseptic solution; use clean swab as you move around and away examine wound...anything weird, get MD |
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safety tips:
go from clean to dirty tech. inner to outer the exposed part of sutures are ... |
dirty! SO, maintain sterile technique clip sutures close to skin to prevent exposed part getting dragged under wound!
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again, use sterile techn. cut close to the skin. what else?
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always b/f , during, and after this procedure, observed for drainage from suture line. apply sterile adhesive strips is necessary. look for excessive edema, etc
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how do you remove a continous suture?
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grasp knot of first one w/ sterile forceps. open scissors and slide one blade under suture opposite. slide scissors under suture opposite knot. clip the suture, pull it out and place on a sponge.
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describe the phases of wound healing?
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inflammatory phase blood vessels constrict, patlets gather, it stops bleeding. clots form. scabs form.
inflamm response: increase blood flow to area... white blood cells arrive neutriphils...ingest bacteria monocytes...b/c macrophages macrophages...clean cell of debris by phagocytes;aid in wound repair proliferate phase remodeling phase |
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epithelial cells move from wound margins to base of clot for ... how long?
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48 hours
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Proliferate stage
closures b/g 3 - 4 days. and continues for ...days |
2 to 3 weeks
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fibroblasts-function w/ help of vit. b and c. Oxygen and amino acids do what?
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synthesize collagen
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