Chpt. 26 - Wound Care: Drainage Flashcards
1
Q
Abrasion
A
Scrape Wound
2
Q
Puncture
A
Puncture would - Sharpe Pierces Skin such as needle or wire
3
Q
Penetrating
A
Penetrating Wound - Sharp that pierces skin is still in wound
4
Q
Lacerations
A
Cut Wound - Glass, Knives
5
Q
Pressure
A
Pressure & Friction Wound
6
Q
Contusion
A
Bruising
7
Q
Stage 1
A
Skin Intact
- Pressure Injury
- Will NOT Blanch
- Turn White
8
Q
Stage 2
A
Skin NOT Intact
- Partial Thickness
- Epidermis
- Dermis
- Intact Serum Filled Blisters
- Broken Blister
- Shallow Pink Ulceration
- Abrasions
9
Q
Stage 3
A
Skin NOT Intact
- Full Thickness (Skin Loss)
- Epidermis
- Dermis
- Hypodermis
- NOT involving Muscle/ Bone
- Tunneling
- Drainage
- Slough
- Eschar
10
Q
Stage 4
A
Skin NOT Intact
- Full Thickness
- Tissue Loss
- Epidermis
- Dermis
- Hypodermis
- Subcutaneous
- Muscle
- Fascia
- Tendon
- Bone
11
Q
Unstageable
A
Skin NOT Intact
- Eschar (Dry, Hard, Dead Tissue)
- Slough
12
Q
Deep Tissue Pressure Injury
A
- DTPI
- Intact
- Non Intact
- Deep Red, Maroon, Purple
- Does NOT Blanch
- Blood Filled Blister
- Thin Blister
- Dark Wound Bed
13
Q
Sanguineous
A
Bloody Drainage
14
Q
Serous
A
Clear / Pale Yellow Drainage
15
Q
Purulent
A
Thick Yellow/ Green Drainage
- Infection
