Debridement

Question 1

what is an acute wound

Answer 1

4-6 weeks

Question 2

what is a chronic wound

Answer 2

more than 6 weeks

Question 3

define DIMES

Answer 3

Debridement
Infection/inflammation
Moisture balance
Edges
Support services

Question 4

what is the purpose of debridement

Answer 4

-remove nectroic tissue
-remove bacteria to prevent infection
-increase ability to assess wound bed

Question 5

what are types of non-selective/mechanical debridement

Answer 5

-wet to dry
-irrigation
-hydrotherapy
-abraded technique

good for mod-extensive necrotic tissue

potential for more bleeding

Question 6

what is autolytic debridement

Answer 6

assists bodys cells in digesting nectroic tissue
-most conservative
-most ideal for noninfected wounds
-requires moist environmenta nd good immune ssystem
-takes a few days

Question 7

what does honey do

Answer 7

-decreases pH=healing benefits
-can cause stinign
-high osmolarity which draws fluid from deeper tissue to surface

Question 8

talk about enzymatic debridement

Answer 8

-not for heavily infected
-people can be extra sensitive to ingredients
-cant be used with silver
-expensive

Question 9

talk about biosurgical debridement

Answer 9

maggots ew
appropriate for large wounds
-maggots eat bacteria, produce ammonia to increase pH and eat nectroic tissue
-expensive

Question 10

what are some contraindications to debridement

Answer 10

-stable heel eschar
-gangrene
-uniidentified structures like a fungating wound or nerve/tendon etc
-terminally ill
-arterial insfuficency (ABI <0.8)
-coagulopathy

Answer 11

-pressure for 10 min
-elevate area
-silver nitrate sticks
-if arterial, get doctor

Question 12

what to do before doing sharp debridement?

Answer 12

1. MD order
2. chart review +labs
3. prep
4. cleanse
5. measure
6. debride