debridement

Question 1

If wound is sangrenous, wound irrigation will look like what?

Answer 1

fresh blood
-gentle, does not harm granulation tissue. SAFE ON ANY WOUND

Question 2

wound scrubbing is used for

Answer 2

soft slough on surface of wound
avoid scrubbing healthy tissue to decrease trauma to granulating cells

Question 3

wound cleaner has surfactants that loosen material in the wound bed by ___

Answer 3

decreasing surface tension
wound cleansers are not regulated

Question 4

low frequency contact ultrasound is for

Answer 4

Studies showing antimicrobial properties (MRSA, plankton bacteria-P aeruginosa, S epidermidis, & S aureus)

debridement and slough, or reawaken chronic wounds!
contraindications:over uterus when pregnant, over gonads, over malignancies or precancerous lesions, over DVT or emboli, over eye, over spinal cord after laminectomy, hemophiliac not covered by factor replacement

Question 5

surgical debridement

Answer 5

Use of scalpel, scissors or laser in sterile environment by physician or podiatrist to remove necrotic tissue, foreign material or debris

Indicated when pt has ascending cellulitis, osteomyelitis, extensive necrotic wounds, wounds with extensive undermining , or wounds the degree of undermining cannot be determined; necrotic tissue near vital organs; pt is septic

Question 6

debridement indications

Answer 6

Necrotic tissue
Foreign material
Debris
Callous
Blister that does not reabsorb

Question 7

debridement contraindications

Answer 7

Granular tissue/viable tissue
Stable, hard, dry eschar in ischemic limb
Deeper tissue needs debrided (can debride around)
Needs surgical debridement
Unable to see clearly
Unable to identify structure