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29 Cards in this Set

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primary intention
clean cut - open wound - suture closed
secondary intention
very deep wound - clean out - don't suture closed
tertiary intention
dirty wound - scrape clean(several diff times) - heals with granulation tissue - eventually go back and suture closed
normal inflammatory reaction
slight swelling, pinkness
--DRAINAGE--

Sanguineous
bloody

some drainage normal for first few days
--DRAINAGE--

serosanguineous
serum and blood
--DRAINAGE--

serous
serum like or yellow
Penrose Drain
-flat, rubber drain
-most times, drains are places adjacent to the wound
-placed where physician thinks the most drainage will occur
Jackson Pratt Drain
-provides gentle suction
-has marked measurements
-more liquid in it, less suction provided
Vertical Mattress (type of suture)
-makes it easy to heal with a perfect wound line
-more likely to hold through pressure
Ordinary Continuous Over and under (type of suture)
provides tight closure
-prevents escape of fluids
Simple interrupted (type of suture)
-most likely to see/remove
-each stitch is separate and tied independentlyof the other stitches
-less chance of bacteria growth spreading along entire length of the wound
Steri Strips
hold wound together
Wound dehiscence
partial or complete separation of the outer layers of the wound
Wound evisceration
-total separation of the layers and protrusion of internal organs or viscera through the open wound.
-considered a medical emergency
Normal Saline dressings
appropriate at any time, any wound, will not cause any harm
debridement
sharp - excisional
autolysis - moisture retentive dressings
mechanical - wet-dry, irrigation
chemical - enzymes, Dakin's
Transparent films
-support granulation growth
-no absorption
-protect healing wound
-debride necrotic tissue
Hydrocolloids
-stay on at LEAST 48 hours
-epithelial growth
-protect healing wound
-moderate absorption
-granulation growth
-debride necrotic tissue
Calcium Alginates
-biodegradable product (will biodegrade in your body)
-change once a day
-debride necrotic tissue
-max absorption
-granulation growth
-protect healing wound
-NOT EFFECTIVE IN DRY WOUNDS
Nonadherent foams
-minimal-moderate absorption
-granulation growth
-epithelial growth
-protect healing wound
-minimal debridement
-doesn't absorb as well
hyperagranulation tissue
proud flesh
hydrogels
-min. absorption
-min. debridement
-granulation, epithelial growth
-provide max. moisture
SILVER
-antimicrobial
-don't USE it if you don't NEED it
Vacuum Assisted Closure
**appropriate for large wounds
-reduce edema
-reduce bacterial count
-increase local blood flow
wound healing
1. perfusion
2. oxygenation
3. nutrition
4. inflammation
eschar
dry, hard -- black
-if there's soupiness around the edges, get rid of it.
-if it's hard and the patient's not getting better, leave it alone!
chronic wound
a wound that deviates from the expected sequence of repair in terms of time, appearance, and response to aggressive and appropriate treatment
arterial wounds are:

full thickness wounds are:
-- PAINFUL, without swelling

-- NOT PAINFUL