Exam !

Question 1

repair phase

Answer 1

(pie crust)- scar formation

- fill in subcutaneous tissue & muscle tissue c scar tissue

Question 2

how long for most wounds to heal?

Answer 2

2-4 wk

Question 3

inflammatory phase

Answer 3

time: 4-6 days
clear away dead cells and bacteria
first vasoconstriction then vasodilation

Question 4

hemostasis

Answer 4

inhibits O2 of surrounding tissue: vascocontriction

Question 5

macrophages function

Answer 5

phagocytosis

Question 6

proliferation phase time frame

Answer 6

time: 4-6day -> 21 days (week 1-3)

Question 7

stages of proliferation phase

Answer 7

re-epithelialization- new skin
fibroplasia- granulation (cake mix)
neovascularization- new blood supply
contraction- decrease wound size

Question 8

fibroplasia

Answer 8

(proliferation phase)- granulation

- make collagen: make component of granulation tissue

Question 9

contraction

Answer 9

process occurs as wound closes due to loss of tissue

Question 10

maturation/remodeling phase

Answer 10

Time: 21-> 2-3 yrs
tensile strength
collagen and elastin formation

Question 11

abrasions

Answer 11

caused by tangential shearing of skin by rough surface
ex/ MVA - road rash
primarily partial thickness : epidermis & dermis

Question 12

avulsion

Answer 12

portion of skin caught on sharp object while body is moving away & flap of skin is removed

Question 13

crush wounds

Answer 13

heavy object falls onto a portion of a person’s body, splits the skin & may even shatter or tear underlying structures

Question 14

open fractures

Answer 14

sharp piece of bone penetrate & teat surrounding soft tissue & skin which created an open wound

Question 15

cuts/incisions

Answer 15

characterized by slice wound created by a sharp object which leaves straight/even edges

Question 16

3 basic mechanisms of laceration

Answer 16

1) shearing
2) tension
3) compression

Question 17

puncture wound

Answer 17

deep & narrow wound created b a sharp object such as nails, knives, or animal teeth
- high risk for contamination & infection

Question 18

flame, scald, contact, electrical, chemical, frostbite are types of:

Answer 18

chemical burns

Question 19

trauma

Answer 19

insult to the wound that may delay or interrupt healing process
- wet to dry is trauma

Question 20

inflection

Answer 20

all wounds are colonized c infection but not all infected!

- not causing active infection- oral antibiotics are useless

Question 21

nutrition

Answer 21

need nutrition consult

malnourished pt. is more suscetiptible to infection & high risk for skin problems & retarded wound healing

Question 22

oxygenation/purfusion

Answer 22

wounds wont heal s O2

Question 23

bariatric skin

Answer 23

circulation can be compromised bc blood does not travel as efficiently thru fatty tissue
delayed repair due to impaired skin barrier

Question 24

regeneration

Answer 24

tissue replace c like tissue-

        - Superfical wounds of epidermis 
        - partial thickness: dermis & epidermis

Question 25

Dermatitis

Answer 25

• contact dermatitis: intermittent burning pain and pruritus around the ulcer
• Pruritus is severe itching often associated with an allergic response
  Ex] - residual limb reveals erythema & edema- unable to wear prosthesis - itchy & painful

Question 26

cellulitis

Answer 26

• supportive inflammation of dermis & subcutaneous tissues; frequ accompanied by infection
• red, hot, swollen, and tender and the patient has a fever

Question 27

Maceration

Answer 27

• the softening and breaking down of skin resulting from prolonged exposure to moisture
• caused by excessive amounts of fluid remaining in contact with the skin or the surface of a wound for extended periods.