class notes and review Flashcards
as soon as something pierces skin, chemical messangers _______ are released
chemokines
___ cells release histamine
mast
mast cells release _____
histamine
the release of _____ causes the capillary endothelial cells to vasodilate
histamine
_____ are WBCs that eat bacteria and viruses
neutrophils
___ number for Braden score makes pt more at risk
lower
_____ effects wound healing
albumin
______ shows tissue perfusion
blanching
blanching shows _____ _______
tissue perfusion
what dressing can be used for a wound w minimal eschar?
wet to dry dressing
don’t use ______ ___ _____ dressing if there is necrotic tissue
wet to dry
_____ can be the start of necrotic tissue
eschar
_____ and ____ drainage mean infection is already present
purulent
seropurulent
____ is used to allow growth of new granulation tissue
debridement
one reason a wound may be left open is ______
infection
how often are wounds measured?
every 3 days
what drainage is normal day 1 post op?
serosanguineous
____ of the wound indicated there is something slowing the healing process
odor
______ _______ can be caused by untreated strep
rheumatic endocarditis
____ drainage indicates normal healing
serous
which drainage is clear, thin, and watery?
serous
which drainage is bright red blood?
sanguineous
____ drainage can be seen when packing is pulled out of wound
sanguineous
____ drainage is thin and watery with pale pink or red hue
serosanguineous
___ drainage is cloudy, yellowish, and thin
purulent
wound measurements are made in _____
cm
what stage pressure ulcer?
non-blanchable, skin intact
stage 1
what stage pressure ulcer?
partial thickness loss of epidermis and dermis
stage 2
what stage pressure ulcer?
full thickness loss from dermis into sub q
stage 3
what stage pressure ulcer?
deep tissue destruction through fascia
stage 4
stage 2 pressure ulcers cause partial thickness loss of _____ and _____
epidermis
dermis
stage 3 pressure ulcers extend from _____ into _______
dermis
subq
if infection is suspected in the wound, obtain a _____ _____
wound culture
an _____ is when the edges of the wound roll over and prevent healing
epibole
______ are bands of scar tissue that form between or around organs
adhesions
excessive _____ can result in deformity
contractions
splinting the abdomen when coughing can prevent wound _____
dehiscence
doff PPE in alphabetical order: (4)
gloves
goggles
gown
mask
pts with anemia are at risk for delayed wound healing bc ____ levels are low
hemoglobin
children of a parent with an ____ ____ disorder have a 50% chance of being affected
autosomal dominant
a person who only inherits one copy of a recessive allele is a ____ of the disease
carrier
daughters of men w ___-_____ _____ disorders are carriers
x-linked recessive
___-_____ disorders only affect men
y-linked
a _____ deficiency impacts drug metabolism
cp450
administer ______ first if you know transplant is going to reject
corticosteroid
example of a multifactorial genetic disorder
type 1 diabetes
vitamin ____ aids in capillary synthesis and collagen production
c
vitamin c aids in _______ ______ and _____ production
capillary synthesis
collagen
if a pt tests positive for _______ disease, they have a 100% chance of getting it
huntingtons
example of x linked recessive disorder
muscular dystrophy
what t lymphocytes are involved in the direct attack and destruction of foreign pathogens?
T cytotoxic cells (CD8)
feeling of impending doom can indicate what type of reaction?
anaphylactic
only use dressing on stage 1 pressure ulcer if pt is ________
incontinent
what dressing can be used for a stage 2 pressure ulcer?
hydrocolloid
for pts with cystic fibrosis, ______ ______ can be taken with snacks and meals
pancreatic enzymes
administer _____ prior to chest physiotherapy to open airways
albuterol
pts with ______ ___ should get factor or recombinant before surgeries or tooth extractions
hemophilia A
what type of dressing to use on a wound w yellow-white slough?
hydrocolloid
what type of dressing to use for a wound w purulent drainage w 1 small dry brown area?
wet to dry