chap 38 part 3 sues 16 Flashcards
is the separation of the wound edges
spontaneous opening of an incision
dehiscence
is the protrusion of an internal organ through the incision
evisceration
risk factor for dehiscence
obesity poor nutrition multiple traumas excessive coughing vomiting strong sneeze suture failure dehydration
the greatest risk for wound dehiscence is on what day
fourth and fifth day post op
before extensive collagen has built up
when dehiscence occur the pt states something has given way what would you need to do if dehiscence happens
quickly place pt supine
place large sterile dressing or towel soaked in normal saline
(over the incision and viscera)
notify the surgeon STAT so the pt to RETURN TO SURGERY
treatment for dehiscence
usually secondary to infection; abx included
may occur anywhere on the body
repair determined by amount of disruption
treatment for evisceration
only occurs in abdomen
emergency surgical repair required
pt. lie supine w/knees flexed
wound covered with sterile dressings moistened with sterile saline until surgical repair can be effected
Which of the following phases of healing begins on the 3rd or 4th day after the injury and lasts 2-3 weeks?
A.First
B.Inflammatory
C.Proliferation
D.Maturation
C. PROLIFERATION
Which of these is not a factor in wound healing? A.Age B.Medications C.Lifestyle D.Type of wound
D.Type of wound
What are the different types of wound closures?
sutures staples wire clips large retention sutures steri-strips dermabond
sutures staples wire clips large retention sutures steri-strips dermabond
are the different types of wound closures
The recommenced method of open wounds classification is based on?
the wounds color rather than its cause or dimension
the are three basic wound types?
red
yellow
black
clean and ready to heal
protection is the best method of treatment
red wound
layer of ___ fibrous debris or exudate, frequent cleansing and absorbent dressing
large amount of leukocytes are presented
yellow
eschar(debridement) that must be removed mechanically or chemically/enzymatically
BLACK
relies on gravity or pressure within the wound to drain exudate
works by the increased pressure inside the wound and depends on gravity and capillary action
what is example of this type of drainage
passive drainage
penrose
attached to suction device remove any accumulated to a wound suction device to remove exudate from wound bed
what is an example of this type of drainage?
active
hemovac
jackson-pratt
Please describe the process of emptying a drain:
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
Measure the drainage
Clean the discharge spout and reestablish suction in the device
Check patency of drainage tubes
Secure the drainage device
Dispose of drainage appropriately
Remove PPE / hand hygiene
Document drainage output in I & O record.
THE 1 step of emptying a drain
Place a waterproof underpad beneath the drainage device
THE 1 &2 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
THE 1 &2 &3 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
THE 1 &2 &3&4 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
Measure the drainage
THE 1 &2 &3&4&5 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
Measure the drainage
Clean the discharge spout and reestablish suction in the device
THE 1 &2 &3&4&5&6 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
Measure the drainage
Clean the discharge spout and reestablish suction in the device
Check patency of drainage tubes
THE 1 &2 &3&4&5&6&7 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
Measure the drainage
Clean the discharge spout and reestablish suction in the device
Check patency of drainage tubes
Secure the drainage device
THE 1 &2 &3&4&5&6&7&8 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
Measure the drainage
Clean the discharge spout and reestablish suction in the device
Check patency of drainage tubes
Secure the drainage device
Dispose of drainage appropriately
THE 1 &2 &3&4&5&6&7&8 &9 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
Measure the drainage
Clean the discharge spout and reestablish suction in the device
Check patency of drainage tubes
Secure the drainage device
Dispose of drainage appropriately
Remove PPE / hand hygiene
THE 1 &2 &3&4&5&6&7&8 &9 & 10 step of emptying a drain
Place a waterproof underpad beneath the drainage device
Perform hand hygiene / gloves
Empty the device when it is 2/3 full
Measure the drainage
Clean the discharge spout and reestablish suction in the device
Check patency of drainage tubes
Secure the drainage device
Dispose of drainage appropriately
Remove PPE / hand hygiene
Document drainage output in I & O record
