Basic wound management

Question 1

what are the 3 phases to wound healing?

Answer 1

1.lag/inflammatory phase
2.repair phase
3.remodelling phase

Question 2

factors affecting healing (7)

Answer 2

1.wound perfusion
2.tissue viability
3.wound fluid accumulation
4.infection
5.mechanical factors
6.immunosuppression
7.neoplasia

Question 3

what can you use to prep the skin

Answer 3

povidone iodine
chlorohexidine
alcohol

Question 4

3 different debridement methods

Answer 4

1.hydrodynamic debridement (lavage)
2. hydromechanical debridement
3. surgical debridement

Question 5

what is primary closure

Answer 5

immediate closure without tension - may need drainage point

Question 6

what is delayed primary closure

Answer 6

1-5days after injury - before granulation
needs lavage and debride daily

Question 7

what is secondary closure

Answer 7

> 5days after injury + after granulation - skin edges then closed

Question 8

what is second intention healing

Answer 8

no closure, heal by granulation

Question 9

what are the3 layers on a wound

Answer 9

primary
secondary
tertiary layers

Question 10

if a wound is infected what needs doing with the primary layer

Answer 10

use a more absorbent one and change it more often