Ch 11 - Wound healing

Question 1

What are the 4 stages in normal wound healing?

Answer 1

1. inflammation
2. debridement
3. repair
4. maturation
   More than one phase of wound healing usually is occurring at any time

Question 2

The inflammation phase usually begins with what?

Answer 2

• hemorrhage and is limited by vessel contraction and constriction
• serum leakage into wound, deposits fibrinogen and other clotting elements
• later this serum provides enzymes, proteins, antibodies, and complement

Question 3

The debridement phase begins?

Answer 3

about 6 hours after injury

- facilitated by the appearance of neutrophils and monocytes that migrate to the wound

Question 4

The repair phase is marked by?

Answer 4

formation of a blood clot and is usually active by 3 to 5 days post-injury

Question 5

The maturation phase is?

Answer 5

the end of wound healing and is a period of remodeling

Question 6

Many factors contribute to proper wound healing which are?

Answer 6

1. patient factors (age, nutritional status, rest, environment, and general health)
2. wound factors (contaminated vs. noncontaminated wounds)
3. external factors (temperature regulation - bandage)
4. whether or not lavage is performed
5. how the wound is closed (primary, secondary)

Question 7

Topical dressings are available as?

Answer 7

ointments, solutions, gels, creams, lotions, sprays, powders, and dressing sheets

Question 8

Wound cleansers are used for what?

Answer 8

to remove necrotic tissue, debris and bacteria

Some products act as healing stimulants

Question 9

What can benefit a wound’s healing process?

Answer 9

using a warm water lavage lasting 15 min. or longer

Question 10

What are protectants?

Answer 10

• provide a protective environment to assist the healing of noninfected wounds.
• protect the skin from irritation caused by urine, feces and tape