Chpt. 26 - Wound Care: Drainage Flashcards

1
Q

Abrasion

A

Scrape Wound

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2
Q

Puncture

A

Puncture would - Sharpe Pierces Skin such as needle or wire

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3
Q

Penetrating

A

Penetrating Wound - Sharp that pierces skin is still in wound

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4
Q

Lacerations

A

Cut Wound - Glass, Knives

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5
Q

Pressure

A

Pressure & Friction Wound

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6
Q

Contusion

A

Bruising

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7
Q

Stage 1

A

Skin Intact
- Pressure Injury
- Will NOT Blanch
- Turn White

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8
Q

Stage 2

A

Skin NOT Intact
- Partial Thickness
- Epidermis
- Dermis

  • Intact Serum Filled Blisters
  • Broken Blister
  • Shallow Pink Ulceration
  • Abrasions
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9
Q

Stage 3

A

Skin NOT Intact

  • Full Thickness (Skin Loss)
  • Epidermis
  • Dermis
  • Hypodermis
  • NOT involving Muscle/ Bone
  • Tunneling
  • Drainage
  • Slough
  • Eschar
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10
Q

Stage 4

A

Skin NOT Intact

  • Full Thickness
  • Tissue Loss
  • Epidermis
  • Dermis
  • Hypodermis
  • Subcutaneous
  • Muscle
  • Fascia
  • Tendon
  • Bone
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11
Q

Unstageable

A

Skin NOT Intact

  • Eschar (Dry, Hard, Dead Tissue)
  • Slough
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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
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13
Q

Sanguineous

A

Bloody Drainage

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14
Q

Serous

A

Clear / Pale Yellow Drainage

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15
Q

Purulent

A

Thick Yellow/ Green Drainage
- Infection

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16
Q

Bilious

A

Dark Green
- Gallbladder Surgery (After)

17
Q

Serosanguineous

A

Blood / Clear Drainage - Pink

18
Q

Seropurulent

A

Clear / Pus Drainage