1- Wound Healing

Question 1

Name wound healing phases in order

Answer 1

1) inflammatory phase
2) debridement phase
3) Repair phase
4) maturation phase

Question 2

Define vasodilation, which phase does this occur in

Answer 2

Dilation of blood vessels, brings inflammatory mediators to site
Inflammatory phase

Question 3

Which phase?
Leakage of fibrinogen and clotting elements into wound. Formation of blood clots, scabs. Leakage of white blood cells into wound

Answer 3

Inflammatory

Question 4

Define debridement

Answer 4

Removal of necrotic tissue, organisms, and debris at the cellular level

Question 5

Define necrotic

Answer 5

Dead

Question 6

Neutrophils and macrophages debride the wound by _______ of organisms, dead tissue, and debris. Which phase

Answer 6

Phagocytosis

Debridement phase

Question 7

How long (ish) inflammatory phase

Answer 7

1-5 days

Question 8

How long (ish) repair phase

Answer 8

3 days to 4 weeks

Question 9

Which phase?

Fibroblast proliferation, capillary formation, collagen synthesis, formation of granulation tissue

Answer 9

Repair phase

Question 10

Define granulation tissue

Answer 10

Fibrous connective tissue that grows in wounds and fills them. Delicate, moist, pink

Question 11

Define epithelization

Answer 11

Formation of skin across wound, goes over granulation tissue

Question 12

Maturation phase time estimate

Answer 12

17+ days

Question 13

Which phase?

Wound strength increases due to collagen cross linking, #of capillaries in wound decrease, scar formation

Answer 13

Maturation phase

Question 14

Older patients heal _____
Younger heal ______
(Fast/ slow)

Answer 14

Slow

Fast

Question 15

Geriatric means

Answer 15

Old patient

Question 16

Hypothyroidism would _____ (slow or speed up) metabolism/ healing process

Answer 16

Slow (hyper would speed)

Question 17

One of the biggest factors that could slow healing process is

Answer 17

Wound characteristics

Contamination or infections, shape of wound

Question 18

What type of wound?

Superficial scrapes

Answer 18

Abrasions

Question 19

What type of wound?

Cuts, tears

Answer 19

Lacerations

Question 20

What type of wound?

Deep and narrow. Worst for contamination

Answer 20

Puncture

Question 21

A bite would be what kind of wound?

Answer 21

Puncture

Question 22

What type of wound?

Create flap of skin

Answer 22

Avulsions

Question 23

What type of wound?

Flesh is peeled off

Answer 23

Degloving injuries

Question 24

A fresh wound is how old

Answer 24

Less than 8 hours

Question 25

Signs of a fresh wound

Answer 25

Bleeding w/ fresh edges, covered by moist clot or moist scab

Question 26

Indications of older wound

Answer 26

Hard, dry, dark colored scabs. Granulation tissue, pus, scarring

Question 27

Indications of infection

Answer 27

Redness of skin around wound, pus, warm to the touch, swelling

Question 28

Firm swelling deep to the wound may indicate

Answer 28

An abscess, a localized infection of pus

Question 29

Indications of a severe/ systemic infection

Answer 29

Fever, depression, loss of appetite