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
