Wound Care

Front 1

primary intention

Back 1

clean cut - open wound - suture closed

Front 2

secondary intention

Back 2

very deep wound - clean out - don't suture closed

Front 3

tertiary intention

Back 3

dirty wound - scrape clean(several diff times) - heals with granulation tissue - eventually go back and suture closed

Front 4

normal inflammatory reaction

Back 4

slight swelling, pinkness

Front 5

--DRAINAGE--

Sanguineous

Back 5

bloody

some drainage normal for first few days

Front 6

--DRAINAGE--

serosanguineous

Back 6

serum and blood

Front 7

--DRAINAGE--

serous

Back 7

serum like or yellow

Front 8

Penrose Drain

Back 8

-flat, rubber drain
-most times, drains are places adjacent to the wound
-placed where physician thinks the most drainage will occur

Front 9

Jackson Pratt Drain

Back 9

-provides gentle suction
-has marked measurements
-more liquid in it, less suction provided

Front 10

Vertical Mattress (type of suture)

Back 10

-makes it easy to heal with a perfect wound line
-more likely to hold through pressure

Front 11

Ordinary Continuous Over and under (type of suture)

Back 11

provides tight closure
-prevents escape of fluids

Front 12

Simple interrupted (type of suture)

Back 12

-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

Front 13

Steri Strips

Back 13

hold wound together

Front 14

Wound dehiscence

Back 14

partial or complete separation of the outer layers of the wound

Front 15

Wound evisceration

Back 15

-total separation of the layers and protrusion of internal organs or viscera through the open wound.
-considered a medical emergency

Front 16

Normal Saline dressings

Back 16

appropriate at any time, any wound, will not cause any harm

Front 17

debridement

Back 17

sharp - excisional
autolysis - moisture retentive dressings
mechanical - wet-dry, irrigation
chemical - enzymes, Dakin's

Front 18

Transparent films

Back 18

-support granulation growth
-no absorption
-protect healing wound
-debride necrotic tissue

Front 19

Hydrocolloids

Back 19

-stay on at LEAST 48 hours
-epithelial growth
-protect healing wound
-moderate absorption
-granulation growth
-debride necrotic tissue

Front 20

Calcium Alginates

Back 20

-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

Front 21

Nonadherent foams

Back 21

-minimal-moderate absorption
-granulation growth
-epithelial growth
-protect healing wound
-minimal debridement
-doesn't absorb as well

Front 22

hyperagranulation tissue

Back 22

proud flesh

Front 23

hydrogels

Back 23

-min. absorption
-min. debridement
-granulation, epithelial growth
-provide max. moisture

Front 24

SILVER

Back 24

-antimicrobial
-don't USE it if you don't NEED it

Front 25

Vacuum Assisted Closure

Back 25

**appropriate for large wounds
-reduce edema
-reduce bacterial count
-increase local blood flow

Front 26

wound healing

Back 26

1. perfusion
2. oxygenation
3. nutrition
4. inflammation

Front 27

eschar

Back 27

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!

Front 28

chronic wound

Back 28

a wound that deviates from the expected sequence of repair in terms of time, appearance, and response to aggressive and appropriate treatment

Front 29

arterial wounds are:

full thickness wounds are:

Back 29

-- PAINFUL, without swelling

-- NOT PAINFUL