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MultiSystem Management > Exam 2-wound care labs > Flashcards

Exam 2-wound care labs Flashcards

1
Q

Which patients need sterile procedures/

A
  • immunocompromised

- burns

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2
Q

When do you use wet to dry dressing?

A

50% slough or edema

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3
Q

How do you document dressing changes?

A

time, date, initial

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4
Q

What is selective debridement?

A

sharps

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5
Q

When do you use cross hatching?

A

santyl and stuff that needs to really get into the wound

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6
Q

When should you not use sharps debridement?

A
  • dry, stable eschar

- low ABI

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7
Q

What is profore? Who should use it? What different kinds are there? What should you consider before using it?

A
  • compression wrap
  • venous insufficiency/would
  • 2 layer and 4 layer
  • ABI (2 layer=.6-.8; 4=.8-1), ankle circumference (>18 cm), pt tolerance
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8
Q

What’s the difference between the Unna boot and profore?

A
  • Unna: class 2; health care worker has to put it on; dry skin, can leave it on longer if the pt can’t do their own changes
  • Profore: class 3
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9
Q

What can you use for class 2 edema?

A
  • ace bandage
  • Unna boot
  • 2 layer profore
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10
Q

What can laser do for wound care?

A
  • enhances healing

- scar management-keloid scars

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11
Q

What does negative pressure tx do?

A
  • gets exudate out

- protects the area

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12
Q

What is negative pressure indicated for?

A
  • heavy exudate
  • pressure ulcers
  • chronic, open wounds
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13
Q

What are contraindications for negative pressure?

A

-osteomyelitisn

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14
Q

What are indications for hyperbaric O2?

A
  • diabetes
  • arterial insufficiency
  • burns
  • radiation burns
  • osteomyelitis
  • inducing revascularization through O2 in system
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15
Q

What can ultrasound do for wound healing?

A
  • increase circulation

- help move through phases of healing

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16
Q

What are contraindications and precautions for US?

A
  • contraindications: cancer, decreased sensation, cellulitis
  • precautions:infection, sterile gel
  • avoid going back to inflammation
17
Q

What is estim used for in wound therapy?

A
  • edema
  • pain
  • increasing blood flow
  • facilitates debridement
  • pressure ulcers
  • chronic wounds
  • can be done w/ infected wounds
18
Q

What are contraindications and precautions for estim?

A
  • contraindications: cancer, pregnancy

- precautions: decreased sensation, bleeding, silver dressings

19
Q

What is negative polarity used for?

A
  • stimulating granulation

- increasing blood flow

20
Q

What is positive polarity used for?

A

after proliferation phase

21
Q

What do you do if you’re using estim and the wound hasn’t changed in 1 week?

A

change polarity

22
Q

Describe diabetic ulcers. How do you assess them? What do you do to tx them?

A
  • callus, circular/regular borders, Charcot’s, forefoot/midfoot/hindfoot, plantar surface
  • monofilament, pulses, ABI, measure wound, smell
  • offloading, debride callus, educate on checking feet, good footwear
23
Q

What do you do for a pressure ulcer?

A
  • pulsed lavage, negative pressure
  • foam, pomagram (active dressing)
  • education: positioning, off-loading, HOB30, no prolonged sitting
  • rojo cushioning
24
Q

What does a venous insufficiency ulcer look like? How do you treat the?

A
  • irregular borders, shallow, red

- foam, hydrocolloid, silver dressing, compression, elevation, decrease sodium intake, pulsed lavage, estim

25
Q

What does an arterial wound look like? How do you treat?

A
  • pink/paler
  • LE-toes, lateral border
  • painful
  • not a lot of drainage
  • dry, shiny, hairless
  • thickened toenails
  • ABI, capillary refill skin temp, dependent rubor, pulses
  • hydrogel/something we, bypasses for unhealing wounds
26
Q

What do you change for pulsed lavage per patient?

A

The guns are issued per patient, and you should change the tip after every use.

27
Q

Pulsed Lavage: what do you do with pts belongings and visitors?

A
  • cover exposed supplies, personal items, tubes, ports, wounds not being treated; thoroughly disinfect all environmental surfaces touched
  • no visitors during tx
28
Q

What precautions are used with PL?

A
  • standard precautions
  • hand hygeine
  • mask, goggles, gloves, gown
29
Q

In the 2nd lab, go read page 52-station 3 for some fabulous cases!

A

Also the dressing cheat sheet (58)

MultiSystem Management (6 decks)

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