2.1 Maggots, Discharge Flashcards
How long does a maggot dressing stay on?
3-5 days
maggot dressing
- foam around the edges of a wound
- forms a maggot terrarium
maggots only eat
dead tissue
What needs to be described when documenting discharge?
- volume
- type
What are the descriptors for volume?
- none
- scant/trace
- minimal/small
- moderate
- copious
discharge volume: none
dry
discharge volume: scant/trace
moist
discharge volume: minimal/small
- moisture evenly distributed
- 25% of bandage saturated
discharge volume: moderate
- tissues saturated
- dressing 25-75% saturated
discharge volume: copious
- tissues bathed in fluid
- weeps
For moderate and copious, how does medication need to be addressed?
put ointment or meds on dressing, then place on wound bed
discharge types
- serous
- fibrinous
- serosanguinous
- sanguinous
- seropurulent
- purulent
- haemopurulent
- haemorrhagic
discharge types: serous
- clear color
- thin
- watery
- stuff that comes out of a sunburn
normal
discharge types: fibrinous
- cloudy (contains fibrin)
- thin
- dries yellow
normal
discharge types: serosanguinous
- thin
- clear
- pink
- watery
normal
discharge types: sanguinous
- red, just blood
- damage to capillary beds
discharge types: seropurulent
- murky, yellow
- thick
- creamy
- “brownish tannish cool whip”
infection
discharge types: purulent
- yellow, greenish
- thick
infection
discharge types: haemopurulent
- dark, bloodstained
- viscous, sticky
- neutrophils and dead bacteria in the wound
- infection creates destruction to wound bed (causes bleeding)
- larger inflammatory response
discharge types: haemorrhagic
- red
- blood comes out frothy and thick
- coagulated, oozing out
- not runny
What indicates worse health in a wound (discharge)?
- thicker
- more of it
What indicates healthier wound (discharge)?
- clearer
- thinner
categories of goal writing for wounds
- wound bed (dressing/drainage)
- function
- education
antideformity positions
- If there’s a burn over the joint, what’s the most likely deformity?
- put them in a position to prevent this