7-16 Final

Question 1

How long does the inflammatory phase of wound healing last? What happens during this phase?

Answer 1

Incision to post-op day 2; Hemostasis and Phagocytosis

Question 2

What happens during the Proliferative Phase of wound healing and how long does it happen for?

Answer 2

Collagen strengthens wound and produces scar tissue; Day 3 to day 14-21

Question 3

What happens during Maturation phase of wound healing and how long does it take place?

Answer 3

Collagen reorganized into more orderly structure; 2-3 weeks to 6 weeks

Question 4

How do we cleanse a wound?

Answer 4

From area of least contamination to greatest contamination; gentle friction; wounds can be cleansed with moistened gauze or irrigation; avoid abrading the wound bed with gauze

Question 5

What is the purpose of wound packing?

Answer 5

To allow the wound to heal from the bottom up; absorbs drainage so that an abscess doesn’t form.

Question 6

What should we determine before choosing a wound dressing?

Answer 6

What is the type of wound to be dressed; What is the goal for the dressing

Question 7

What does NERDS stand for in regards to superficial infections?

Answer 7

N: Non healing state or deterioration of wound
E: Exudate level increased
R: Red wound bed, bleeds easily
D: Debris in the wound
S: Smell is increased

Question 8

What does STONES stand for in regards to deep infections?

Answer 8

S: Size
T: Temp
O:O's (exposed bone)
N: New areas of breakdown
E: Exudate, Erythema, Edema
S: Smell is increased

Question 9

What is a Fistula?

Answer 9

An abnormal passage between two organs or between an organ and the outside of the body

Question 10

Describe a Penrose drain

Answer 10

Soft, open tube; Used for thicker drainage; Drainage absorbed onto outer dressing; Sterile safety pin is place to prevent slippage into wound

Question 11

Describe a Jackson Pratt drain

Answer 11

Placed in a separate puncture site or at edge of surgical wound; Fenestrated tubing attached to a bulb-shaped reservoir; bulb is compressed & closed to create negative pressure

Question 12

What is a Hydrocolloid wound dressing?

Answer 12

Maintains wound bed moisture; Adhesive and occlusive; can be left in place for 5 to 7 days; preventative dressing for high friction area

Question 13

What is a Hydrogel dresing?

Answer 13

Gives moisture to wound bed; absorbs small amounts of exudate; soothing; softens necrotic tissue