5 Wound Bed Preparation

Question 1

What are the four components of wound bed preparation?

Answer 1

T-tissue management, remove dead tissue
I-inflammation & infection control
M-moisture balance, keep wound bed moist
E-epithelial edge advancement

Question 2

This includes removal of necrotic tissue by selective or nonselective debridement.

Answer 2

Tissue Management

Question 3

True-False: stable eschar on heels or in nonvascularized tissue is not to be debrided.

Answer 3

True

Question 4

What are the three methods of selective debridement?

Answer 4

Autolytic, enzymatic, and bio-surgical/maggot debridement therapy.

Question 5

Mechanical and sharp are the two types of __________ debridement.

Answer 5

Non-selective debridement

Question 6

Mechanical debridement includes whirlpool, wet-to-dry, ___________, and __________.

Answer 6

Scrubbing; irrigation

Question 7

What is the range for safe irrigation? Give examples.

Answer 7

4 to 15 PSI
(high> 8; 8= 35 cc syringe + 19 ga angio-cath)
(Low

Question 8

What are classic S/S of onflammation or infection? (12)

Answer 8

Redness, pain, heat, and peri-wound swelling; increased or purulent drainage, wound odor after cleansing, discoloration of peri-wound skin; delayed healing, friable tissue, induration, increased serous exudate, change in wound bed color.

Question 9

Contamination is the presence of ___________ on wound surface.

Answer 9

Non-multiplying bacteria.
All wounds are contaminated.
No delayed healing.

Question 10

Colonization is defined as__________.

Answer 10

the presence of replicating bacteria without injury to host.
No S/S observed.

Question 11

Wound bed preparation is a comprehensive approach to chronic wound care that _________________.

Answer 11

assists with removal of barriers to healing and promotes stimulation of healing process.