CHAPTER 47: Postrepair Wound Care Flashcards
Most sutured or stapled lacerations should be covered with a protective, nonadherent dressing for —?— hours
24 to 48 hours
TRUE or FALSE?
Leaving lacerations exposed to air may result in an increased rate of infection.
FALSE
Leaving lacerations exposed to air may result in a slightly lower healing rate but does not result in an increased rate of infection.
Common brands of semipermeable films manufactured from transparent polyurethane or similar synthetic films coated on one surface with a water-resistant hypoallergenic adhesive
OpSite Post-Op®, Bioclusive® & Tegaderm®
Are an alternative to the use of commercial dressings to maintain a moist environment and may help reduce infection rates and prevent scab formation
Topical antibiotic creams and ointments
TRUE or FALSE?
Patients whose lacerations are closed with tissue adhesives should not use topical ointments or creams.
TRUE
Patients whose lacerations are closed with tissue adhesives should not use topical ointments or creams because they will loosen the adhesive and may result in dehiscence.
Patients with soft tissue contusion, instruct to elevate the injury site for —?— hours to limit accumulation of fluid in the wound area
24 to 48 hours
TRUE or FALSE?
Compulsive wound cleansing is far more important than antibiotics to reduce postrepair wound infection.
TRUE
Compulsive wound cleansing is far more important than antibiotics to reduce postrepair wound infection.
Postrepair prophylaxis antibiotics are given for:
Nonbite wounds: —?— days
Bite wounds: —?— days
Nonbite wounds: 3 to 5 days
Bite wounds: 5 to 7 days
Is the preferred prophylactic treatment for mammalian bite wounds
Amoxicillin-clavulanate
The only contraindication to tetanus toxoid
History of neurologic or severe systemic reaction after a previous dose
Patients who had exaggerated local reactions should not receive tetanus toxoid more frequently than every —?— years
10 years
Sutured or stapled wounds can be gently washed and cleansed with tap water as early as —?— hours after closure without an increase in infection rate
as early as 8 hours
The pain from lacerations generally decreases after the initial —?— hours
after the initial 48 hours
Facial sutures are removed in —?— days
3 to 5 days
Sutures over the joints or on the hands should be left in place for —?— days
10 to 14 days
