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Integumentary > Chapter 4 - Examination of Open Wounds > Flashcards

Chapter 4 - Examination of Open Wounds Flashcards

1
Q

Normal serum albumin

A

3.5 - 5.5
low = malnourished
high = dehydrated

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2
Q

Normal WBC count

A

4500 - 11,000

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3
Q

Hemoglobin

A 
Women = 12-16
Men = 14-18
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4
Q

Platelet

A

150,000-400,000

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5
Q

Hematocrit

A 
Women = 38-46
Men = 42-54
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6
Q

Total lymphocyte count

A

> 1800

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7
Q

Total RBC count

A 
women = 4-5
men = 4.5-6.2
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8
Q

Serum prealbumin

A

16-40

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9
Q

Serum transferrin

A

> 170

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10
Q

Blood glucose

A

70-110

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11
Q

BUN

A

8-20

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12
Q

Creatine

A

.8-1.2

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13
Q

Cardiovascular/Pulmonary Systems Review

A

HR, BP, RR, edema, pulse ox

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14
Q

Musculoskeletal Systems Review

A

structure, posture, ROM, strength

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15
Q

Neuromuscular Systems Review

A

gait, mobility, transfers, balance

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16
Q

GI Systems Review

A

nutrition, supplementation, continence, BMI, REAP/WAVE nutritional assessment screening tools

17
Q

Urogenital Systems Review

A

incontinence, poorly controlled diabetes, UTI

18
Q

Integumentary Systems Review

A

skin integrity, color, scar formation, hair and nail growth

19
Q

Wound Characteristics

A 
Location
Size
Tunneling/Undermining
Wound Bed
Wound Edges
Wound Drainage
Wound Odor
20
Q

Periwound Characteristics

A 
Structure/Quality
Color
Epithelial appendages
Edema
Temperature
21
Q

Wound bed characteristics

A

color, consistency, adherence, amount

22
Q

Wound edge characteristics

A

distinctness, thickness, color, attachment to base of wound, evidence of epithelialization/scarring/pigment changes

23
Q

Wound drainage characteristics

A

type, color, consistency, amount

24
Q

Pitting Edema Classification

A

1+ = 7, >30 sec

25
Q

Pulses

A 
0 = absent
1 = diminished
2 = normal
3 = bounding

Integumentary (6 decks)

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