48 - wound care Flashcards
1
Q
what to do for laceration
A
- Hx and Phx
- clean
- close
- analgesia
- dress
- discharge instruction
2
Q
4 factors that increase likelihood of infection
A
- type of injury
- crush, deep, contaminated - location
- lower extremity more common - time of presentation
- med Hx
- diabetes, immunocompromised
3
Q
3 keys to good Phx
A
- lighting
- analgesia
- hemostasis
4
Q
what to look for
A
- deep structures
- distal neuro
- vascular
- motor
5
Q
main method of analgesia
A
lidocaine with or without epi
6
Q
4 regions not to use epi
A
fingers, nose, penis, toes
7
Q
2 topical anesthetics
A
- LET - lido, epi, tetracaine
2. EMLA - mix
8
Q
methods of cleansing
A
- clip hair down
- vaseline hair
- chlorhexidane
- irrigation at 7psi or more
9
Q
3 times of closure
A
primary - 8-12 hours, 24 for face
secondary - leave open and allow to heal
- for late or infected
delayed - leave open for 4-5 days, then close
10
Q
4 main methods to close
A
- suture
- staples
- tapes
- adhesives
11
Q
size of suture and time for face, scalp, limb, trunk, joint
A
face 5-0 or 6-0, 5 days scalp 4-0, 7-10 limb 4-0, 10-14 trunk 4-0 or 3-0, 7-14 joint 4-0 or 3-0, 14
12
Q
when to prescribe Abx
A
not normally
- immunocompromised
- crush
- joints
- mammal bites
13
Q
who needs tetanus
A
10 yrs - yes
incomplete - YES
14
Q
2 types of dressing
A
- transparent cover
2. absorpative foam if expect more juices
15
Q
main discharge instructions (4)
A
- cleansing
- timing of suture removal
- signs of infection
- expected cosmetic results
