Inflammation And Wound Healing 13 Lewis Med Surg

Front 1

2 types healing

Back 1

Regeneration
repair

Front 2

regeneration

Back 2

replace lost cells with same type of cells

Front 3

repair

Back 3

most common form of healing result in scar

Front 4

parts of repair

Back 4

primary - neatly approximated
2- result from trauma ulder injury irr border drain heals from bottom up
3- delayed suture of wound 2 layers of granulation tissue together

Front 5

initial phase

Back 5

phase of primary intention

edges come together
blood clots form and release growth factor
wound debri removed make room capillary growth

Front 6

granulation phase

Back 6

phase of primary intention
-wound pink and vascular
-most risk dehescense and inf
-fibroblasts - cells migrate into healing site and secrete collagen

Front 7

scar contracture

Back 7

last phase of primary intention
-fibroblasts disappear
-remodel collagen
-strengthen scar

Front 8

what do you do with
red
yellow
black wounds?

Back 8

red cover
yellow cleanse
black debride

Front 9

purpose of wound care

Back 9

-clean wound to remove dirt
-treat infection prepare healing
-protect clean wound from trauma

Front 10

when deficient affects wound healing how
vitamin c
protein
zinc

Back 10

vitamin c- delay collagen fibers and capillary growth
protein- decrease supply amino acids for tissue repair
zinc - impair epithelialization

Front 11

LPN wounds delegation

Back 11

-sterile dressing acute and chronic wounds
-apply topical meds
-prescribed dressing/meds to prepare for debridement
-collect/record data about appearance
-reinforce teaching

Front 12

NAP wounds delegation

Back 12

-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O
-report change in wound appearance

Front 13

pressure ulcers

Back 13

stage 1- nonblanching red
S2- partial thickness loss
S3 full thickness loss not thru fascia
S4 full thickness loss thru fascia

Front 14

adhesion

Back 14

band scar tissue form btwn or around organs

Front 15

contracture

Back 15

normal but if excessive can cause deformity

Front 16

evisceration

Back 16

wound exits

Front 17

dehiscense

Back 17

edges seperate

Front 18

LPN wounds delegation

Back 18

-sterile dressing acute and chronic wounds
-apply topical meds
-prescribed dressing/meds to prepare for debridement
-collect/record data about appearance
-reinforce teaching

Front 19

excess granulation

Back 19

protrude above surface of healing wound

Front 20

fistula

Back 20

abnormal passage btwn organ and skin

Front 21

NAP wounds delegation

Back 21

-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O
-report change in wound appearance

Front 22

hypertrophic

Back 22

overabundance of collagen makes raised red and hard scar

Front 23

pressure ulcers

Back 23

stage 1- nonblanching red
S2- partial thickness loss
S3 full thickness loss not thru fascia
S4 full thickness loss thru fascia

Front 24

adhesion

Back 24

band scar tissue form btwn or around organs

Front 25

contracture

Back 25

normal but if excessive can cause deformity

Front 26

evisceration

Back 26

wound exits

Front 27

dehiscense

Back 27

edges seperate

Front 28

LPN wounds delegation

Back 28

-sterile dressing acute and chronic wounds
-apply topical meds
-prescribed dressing/meds to prepare for debridement
-collect/record data about appearance
-reinforce teaching

Front 29

excess granulation

Back 29

protrude above surface of healing wound

Front 30

NAP wounds delegation

Back 30

-dressing change chronic wound CLEAN technique
-empty wound drainage docu I and O
-report change in wound appearance

Front 31

fistula

Back 31

abnormal passage btwn organ and skin

Front 32

hypertrophic

Back 32

overabundance of collagen makes raised red and hard scar

Front 33

pressure ulcers

Back 33

stage 1- nonblanching red
S2- partial thickness loss
S3 full thickness loss not thru fascia
S4 full thickness loss thru fascia

Front 34

adhesion

Back 34

band scar tissue form btwn or around organs

Front 35

contracture

Back 35

normal but if excessive can cause deformity

Front 36

evisceration

Back 36

wound exits

Front 37

dehiscense

Back 37

edges seperate

Front 38

excess granulation

Back 38

protrude above surface of healing wound

Front 39

fistula

Back 39

abnormal passage btwn organ and skin

Front 40

hypertrophic

Back 40

overabundance of collagen makes raised red and hard scar

Front 41

keloid

Back 41

scar tissue that extends beyond wound edges