Case Study #2 Wound Healing Flashcards
Which process of normal wound healing was most impaired by Mrs. P’s diabetic condition?
Inflammation:
The initial treatment of Mrs. P wound prespresnted an attempt to promote healing by
Secondary intention
Signs and symptoms of wound infection include all of the following
Pain, purulent discharge, edema
The purpose of he drain in the wound is to
Decrease the wound dead space that may occur with accumulation of blood and fluid.
Additional debriding is indicated along the suture line since there is mucopurulent drainage present: the mot appropriate method of debridement would be
High pressure pulsatile irrigations
Of the following which is the most essential nutrient during this phase of Mrs. Ps recovery
Glucose
Why does a diuretic affect hypertension?
Diuretics cause the kidneys to remove more sodium and water from the body which helps relax blood vessels walls thereby lowering blood pressure.
Why does a diuretic might be given to someone who has edema?
A diuretic might be given to someone with edema so that the swelling can decrease with the help of the diuretic to help urinary output.
Why does a blister grow rapidly into a large crater wound in just 24 hrs?
It grew rapidly because wounds isn’t send inflammatory chemicals, and WBC did not clot along with plasma.
Why would we clean this wound with saline soaked gauze and not use something that is bactericidal like iodine or betadine
So that the drying process is faster, scabbing takes place on dry surfaces and to draw fluids out of the wound.
How is debridement supposed to take place in the human body?
Debridement takes place through healing after fibroblasts close the gap with collagen. Macrophages phagocytize cell debris. Epithelial cells multiply and migrate over the granulation.
List the steps of inflammation.
Pain, redness, heat, swelling
Why was the term hypoxemia used in regards to this patient?
Because of her condition that constricts blood vessels and their ability to deliver and transport oxygen.
What could account for Mrs. P depression and withdrawal besides losing a limb?
Insulin levels?
Metabolic changes?
