1- Wound Healing Flashcards

1
Q

Name wound healing phases in order

A

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

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2
Q

Define vasodilation, which phase does this occur in

A

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

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3
Q

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

A

Inflammatory

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4
Q

Define debridement

A

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

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5
Q

Define necrotic

A

Dead

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6
Q

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

A

Phagocytosis

Debridement phase

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7
Q

How long (ish) inflammatory phase

A

1-5 days

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8
Q

How long (ish) repair phase

A

3 days to 4 weeks

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9
Q

Which phase?

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

A

Repair phase

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10
Q

Define granulation tissue

A

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

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11
Q

Define epithelization

A

Formation of skin across wound, goes over granulation tissue

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12
Q

Maturation phase time estimate

A

17+ days

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13
Q

Which phase?

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

A

Maturation phase

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14
Q

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

A

Slow

Fast

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15
Q

Geriatric means

A

Old patient

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16
Q

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

A

Slow (hyper would speed)

17
Q

One of the biggest factors that could slow healing process is

A

Wound characteristics

Contamination or infections, shape of wound

18
Q

What type of wound?

Superficial scrapes

A

Abrasions

19
Q

What type of wound?

Cuts, tears

A

Lacerations

20
Q

What type of wound?

Deep and narrow. Worst for contamination

A

Puncture

21
Q

A bite would be what kind of wound?

A

Puncture

22
Q

What type of wound?

Create flap of skin

A

Avulsions

23
Q

What type of wound?

Flesh is peeled off

A

Degloving injuries

24
Q

A fresh wound is how old

A

Less than 8 hours

25
Q

Signs of a fresh wound

A

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

26
Q

Indications of older wound

A

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

27
Q

Indications of infection

A

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

28
Q

Firm swelling deep to the wound may indicate

A

An abscess, a localized infection of pus

29
Q

Indications of a severe/ systemic infection

A

Fever, depression, loss of appetite