Everything Skin.....ugh

Question 1

Pressure Ulcer Stage I

Answer 1

An observable pressure reed alteration of intact skin. Differences may include skin color, skin temp, skin stiffness, or sensation

Question 2

Pressure Ulcer Stage II

Answer 2

A partial thickness skin loss. Dermis and Epidermis. SUperificial and presents clinically as an abrasion, a blister, or a shallow crater

Question 3

Pressure Ulcer Stage III

Answer 3

A full-thickness skin loss that involves damage or necrosis of subcutaneous tissue that may go down through underlying fascia. The ulcer presents clinically as a deep crater with or without undermining adjacent tissue.

Question 4

Pressure Ulcer Stage IV

Answer 4

Full thickness with extensive destruction, tissue necrosis, or damage to muscle/bone/tendon/jt capsule

Question 5

Wagner Ulcer grade 0

Answer 5

No open lesion but may possess pre-ulcerative lesions, healed ulcers, presence of bony deformity

Question 6

Wagner Ulcer grade 1

Answer 6

Superficial ulcer not involving the subcutaneous tissue

Question 7

Wagner Ulcer grade 2

Answer 7

Deep ulcer with penetration through the subcutaneous tissues, potentially exposing bone, tendon, ligament, or jt capsule

Question 8

Wagner Ulcer grade 3

Answer 8

Deep ulcer with osteitis, abcess or oteomyelitis

Question 9

Wagner Ulcer grade 4

Answer 9

Gangrene of digit

Question 10

Wagner Ulcer grade 5

Answer 10

Gangrene of foot requiring disarticulation

Question 11

Silver sulfadiazine

Answer 11

with/without dressing
applied to wound directly
painless
broad-spectrum
effective against yeast

Does not penetrate into eschar!

Question 12

Silver nitrate

Answer 12

broad spectrum, non-allergenic, dressing is painless

Poor penetration
Discolars
Can cause electrolyte imbalance
Removal of dressing is painful

Question 13

Povidone-Iodine

Answer 13

broad spectrum
antifungal
removed with water

not effective against pseudomonas
may impair thyroid function
painful

Question 14

Mafenide acete

Answer 14

Broad spectrum
Penetrates burn eschar
with or without occlusive dressing

may cause metabolic acidosis
may compromise respiratory function
may inhibit epithelialization
painful application

Question 15

Gentamicin

Answer 15

broad spectrum, may be covered or left open

Resistant strains, ototoxic, nephrotoxic

Question 16

Nitrofurazon

Answer 16

Bacteriocidal, broad spectrum

May lead to overgrowth of funcgus and pseudomnas
Painful application

Question 17

Hydrocolloids

Answer 17

Used for partial and full thickness wounds.
Effect with granular OR necrotic tissue
Moderate absorption
Not for infected wounds

Question 18

Hydrogells

Answer 18

Superficial and partial thickness wounds
Minimal drainage
Moisture retentive

Question 19

Foam dressings

Answer 19

Protection for partial and full thickness wounds
moderate absorption
can be used as secondary dressing
can traumatize wound bed when removed

Question 20

Transparent film

Answer 20

superficial and partial thickness wounds with minimal drainage
excessive accumulation of exudates can result in periwound maceration
Not used for infected wounds!

Question 21

Gauze

Answer 21

Infected or non infected…all sizes

can be used for wet to wet, wet to moist, and wet to dry

Question 22

Alginates

Answer 22

Partial and full thickness draining wounds
Good for infected wounds
high absorptive capacity