Chapter 48: Skin Integrity and Wound Care Flashcards
This is the termination of bleeding by mechanical or chemical means or the coagulation process of the body. What is this defined as?
Hemostatsis
This is the effect of rubbing or the resistance that a moving body meets from the surface on which it moves. What is this defined as?
Friction
This is a disruption of the integrity and function of tissues in the body. What is this defined as?
Wound
This is a type of drainage; containing or consisting of both blood and serous fluid. What is this defined as?
Serosanguineous
This is necrotic tissue separated from the living structure. What is this defined as?
Slough
When this occurs there is excessive vasodilation and induration; skin is bright pink to red; NO blanching with fingertip pressure; can last 1 hour to 2 weeks; Stage I pressure ulcer. abrasion. superficial wound with little bleeding, considered a partial-thickness wound. What is this defined as?
Abnormal reactive hyperemia
This may result in localized bleeding and later weeping of serous fluid. What is this defined as?
Abrasion
When this occurs the skin edges are closed, and the risk of infection in low. What is this defined as?
Approximated
This occurs when the normal red tones of the light-skinned patient are absent. What is this defined as?
Blanching
This is the removal of dead tissue from a wound. What is this defined as?
Debridement
These are closely related proteins occurring as a major component of connective tissue, giving it strength and flexibility. What is this defined as?
Collagen
This is separation of the edges of a wound, revealing underlying tissues. What is this defined as?
Dehiscence
These are convenient portable units that connect to tubular drains lying within a wound bed and exert a safe, constant, low-pressure vacuum to remove and collect drainage. What is this defined as?
Drainage evacuators
This occurs to form a covering of epithelial cells over a wound. What is this defined as?
Epithelialization
This is a thick layer of dead, dry tissue that covers a pressure ulcer or thermal burn. It may be allowed to be sloughed off naturally, or it may need to be surgically removed. What is this defined as?
Eschar
This is the protrusion of visceral organs through a surgical wound. What is this defined as?
Evisceration
This is a protein produced by the action of thrombin on fibrinogen and essential to the coagulation of blood. What is this defined as?
Fibrin
This is soft, pink, fleshy projections of tissue that form during the healing process in a wound not healing by primary intention. What is this defined as?
Granulation tissue
This is a collection of blood trapped in the tissues of the skin or an organ. What is this defined as?
Hematoma
This is the force between two parallel planes that occurs when one plane slides over the other. What is this defined as?
Shearing Force
This is a hardening of a tissue, particularly the skin, because of edema or inflammation. What is this defined as?
Induration
This is the the act of piercing or penetrating with a pointed object or instrument. What is this defined as?
Puncture
This is another word for pus and is yellow, green or brown in color. What is this defined as?
Purulent
This occurs during wound closure in which the edges are separated. What is this defined as?
Secondary intention
This is a type of drainage; pertaining to blood or containing blood. What is this defined as?
Sanguineous
The is is a type of drainage; of, relating to, producing, or resembling serum; especially: having a thin watery constitution. What is this defined as?
Serous
This is the filling of a wound, and the resurfacing of the wound. What is this defined as?
Epithelialization
This is a torn, jagged wound. What is this defined as?
Laceration
This is inflammation, soreness, or an ulceration in the skin over a bony prominence. What is this defined as?
Pressure Ulcer
This means to separate from the living tissue, pertaining to a dead or necrotic part. What is this defined as?
Slough
These are threads or metal used to sew body tissues together. What is this defined as?
Sutures
This is the point at which tissues receive insufficient oxygen and perfusion. What is this defined as?
Tissue Ischemia
This is a tough fibrous protein. What is this defined as?
Collagen
This is the primary union of the edges of a wound, progressing to complete scar formation without granulation. What is this defined as?
Primary Intention
This is the shrinkage and spontaneous closure of open skin wounds. What is this defined as?
Wound contraction
When this occurs there is redness-localized vasodilation; blanching w/ fingertip pressure; lasts less than 1 hour. pressure ulcer. What is this defined as?
normal reactive hyperemia
This is the scraping or rubbing away of epidermis. What is this defined as?
Abrasion
This protein works by forming a network in which blood cells become trapped, producing a clot. What is this defined as?
Fibrin
This occurs when fluid, cells, or other substances that have been discharged from cells or blood vessels slowly pour through small pores or breaks in cell membranes. What is this defined as?
Exudate
This is bleeding from a wound site. What is this defined as?
Hemorrhage
This is a device that assists in wound closure by applying localized negative pressure to draw the edges of a wound together. What is this defined as?
Vacuum-assisted closure (V.A.C)
This is a force that occurs in a direction to oppose movement. What is this defined as?
Friction
In the body this force operates when the skin moves over underlying tissues, usually when a bed-bound patient is being moved, and results in soft-tissue damage and ischaemic changes. What is this defined as?
Shearing Force
This occurs when granulation tissue develops to fill the gap; and, finally, epithelium grows in over the granulation, producing a larger scar than results with primary intention. What is this defined as?
Secondary intention
This is a soft yellow or white tissue which is a stringy substance attached to wound bed and must be removed from a skilled clinician before the wound will be able to heal. What is this defined as?
Slough