Ch. 32 Wound Care: Vocab

Question 1

abscess

Answer 1

collection of infected fluid that has not drained

Question 2

bandage

Answer 2

piece of gauze or other material used to cover a wound

Question 3

biofilm

Answer 3

thick grouping of microorganisms

Question 4

debridgement

Answer 4

cleaning away devitalized tissue and foreign matter from a wound

Question 5

dehiscence

Answer 5

separation of the layers of a surgical wound, may be partial, superficial, or a complete disruption of the surgical wound

Question 6

dermis

Answer 6

layer of skin below the epidermis.
contains: framework of elastic connective tissue, primarily of collagen. nerves, hair follicles, glands, immune cells, and blood vessels

Question 7

desiccation

Answer 7

dehydration; the process of being rendered free from moisture

Question 8

dressing

Answer 8

protective covering placed over a wound

Question 9

epidermis

Answer 9

superficial layer of the skin

contains: stratified epithelial cells, forms a protective, waterproof layer of keratin.

Question 10

epithelialization

Answer 10

stage of wound healing in which epithelial cells form across the surface of a wound; tissue color ranges fromthe color of ground glass to pink

Question 11

erythema

Answer 11

redness of the skin

Question 12

eschar

Answer 12

thick, leathery scab or dry crust that is necrotic and must be removed for adequate healing to occur

Question 13

evisceration

Answer 13

protrustion of viscera through an incision

Question 14

exudate

Answer 14

fluid that accumulates in a wound, may contain serum, cellular debris, bacteria, and WBCs

Question 15

Fistula

Answer 15

an abnormal passage from an internal organ to the skin or from one internal organ to another

Question 16

friction

Answer 16

occurs when 2 substances rub against each other, resulting injury resembles an abraision and can also damage superficial blood vessels directly under the skin

Question 17

granulation tissue

Answer 17

new tissue that is pink/red in color and composed of fibroblasts and small blood vessels that fill an open wound when it starts to heal

Question 18

hematoma

Answer 18

localized mass of usually clotted blood

Question 19

ischemia

Answer 19

deficiency of blood in a particular area

Question 20

maceration

Answer 20

softening through liquid, overhydration

Question 21

necrosis

Answer 21

death of cells and tissue

Question 22

negative pressure wound therapy (NPWT)

Answer 22

activity that promotes wound healing and wound closure through the application of uniform negative pressure on the wound bed, reduction in bacteria in the wound, and the removal of excess wound fluid

Question 23

pressure injury

Answer 23

1. localized damage to the skin and underlying tissue that usually occurs over a bony prominence or is related to the use of a (medical or other) device 2. any lesion caused by unrelieved pressure that results in damage to underlying tissue, formerly known as pressure ulcre

Question 24

purulent drainage

Answer 24

compromised of WBCs, liquified dead tissue debris and both dead and live bacteria

Question 25

sanguineous drainage

Answer 25

containing or mixed with blood

Question 26

scar

Answer 26

connective tissue that fills a wound area

Question 27

serosanguineous drainage

Answer 27

mixture of serum and RBCS

Question 28

serous drainage

Answer 28

composed of clear, serous portion of the blood and from serous membranes

Question 29

shear

Answer 29

force created when layers of tissue move on one another

Question 30

subcutaneous tissue

Answer 30

underlying layer that anchors the skin layers to the underlying tissues of the body.
Contains: adipose tissue, lobules of fat cells and connective tissue. stores fat for energy, heat insulation, and a cushioning effect. contains blood and lymph vessels, nerves. and fat cells/

Question 31

wound

Answer 31

injury that results in a disruption in the normal continuity of a body tissue

Question 32

Incision

Answer 32

cutting or sharp instrument, wound edges in close approximation and aligned

Question 33

contusion

Answer 33

blunt instrument, overlying skin remains intact, with injury to underlying soft tissue, possible resultant bruising and/or hematoma

Question 34

abrasion

Answer 34

friction, rubbing or scraping epidermal layers of skin, top layers of skin abraded

Question 35

laceration

Answer 35

tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, often with loose flaps of skin and tissue

Question 36

puncture

Answer 36

blunt or sharp instrument puncturing the skin, intentional (such as venipuncture) or accidental)

Question 37

penetrating

Answer 37

foreign object entering the skin or mucous membrane and lodging in underlying tissue, fragments possibly scattering throughout tissues

Question 38

avulsion

Answer 38

tearing a structure from normal anatomic position, possible damage to blood vessels, nerves, and other structures

Question 39

chemical

Answer 39

toxic agents such as drugs, acids, alcohols, metals, and substances released from cellular necrosis

Question 40

thermal

Answer 40

high or low temps. cellular necrosis as a possible result

Question 41

irradiation

Answer 41

ultraviolet light or radiation exposure

Question 42

pressure ulcers

Answer 42

compromised circulation secondary to pressure or pressure combined with friction

Question 43

venous ulcers

Answer 43

injury and poor venous return, resulting form underlying conditions, such as incompetent valves or obstruction

Question 44

arterial ulcers

Answer 44

injury and underlying ischemia, resulting from underlying conditions such as atherosclerosis or thrombosis

Question 45

diabetic ulcers

Answer 45

injury and underlying diabetic neuropathy, PAD, diabeter foot structure