integ exam 1 Flashcards
dermis has two layers, which is superior with loosely packed collagen?
papillary (reticular is deeper)
during the maturation phase of burn wound healing ____ increases
-tensile strength
vascularity and fibroplasia increase early/late in healing?
early, decrease during maturation
epidermal appendages (nails, hair cells) do not regenerate after destruction (T/F)
true
____ burns are the first burn depth to not have pain
full thickness
zones of burns from inside to outside, which is most critical?
coagulation > stasis > hyperemia
stasis is most critical
is tPA appropriate for frostbite?
yes
stevens-johnson syndrome
flu-like symptoms followed by painful red/purplish rash after medication or infection
are epidermal burns included in TBSA?
yes
are donor sites included in TBSA?
yes
is TBSA calculated different in kids?
yes
are amputation areas subtracted from TBSA?
yes
burn shock peaks when?
1 day post burn
which product is used for pseudomonas?
sulfamylon
allograft
thicker, temporary solution for full thickness burns
autograft
harvested from same person, standard for full thickness burns
zenograft
harvested from another species
which has a HIGHER risk of contracture, split thickness skin grafting or full thickness skin grafting?
split thickness skin grafting
what positioning is important for healing of a free-flap reconstruction?
dangling the leg off the bed multiple times per day
dangled in dependent position (more blood flow)
what is a cutaneous functional unit?
field of skin that functionally contributes to ROM at an associated joint
if patient has burns over three joints, which one is most likely to contract?
middle joint
chronic wounds are stalled in the ____ phase
inflammation stage
this pressure ulcer stage may present as a painful blister/ulcer involving the epidermis and dermis
stage 2
this pressure ulcer stage does NOT involve tendon, bone or joint capsule, but may have undermining/tunneling
stage 3
stage 1 vs. deep tissue injury
stage 1: redness
deep tissue: purple/maroon
presence of slough/eschar indicates that the ulcer is at least stage ____
stage 3
arterial ulcer is what color?
usually paler in the wound bed, punched-out appearance
what ABI indicted peripheral arterial disease?
less than 0.9
greater than 1.3 means calcification
precaution/consideration for chemical debridemtent
repetitive use will make the wound larger and delay healing
can you use wet to dry for infection?
no
more than 70% NT
wet to dry or maggot
I think this is wrong it said less than 70% for wet to dry, over 70% for maggot
over 90% for whirlpool
alginates and foams are both good for _____ debridement
autolytic, better for moist wounds
can collagen be used with infected wound?
yes
can collagen be used with full thickness burns?
no
what is a dirty wound?
an infected wound
what is a contaminated wound?
a wound with bacteria??
which type of compression bandage is designed ONLY for ambulatory pts?
unna’s boot
how much pressure does a tubigrip provide?
8 mmHg
how much pressure does an unna’s boot provide?
30 mmHg
hyperbaric oxygen therapy has been found to be helpful in _____ ulcers
diabetic ulcers and arterial
indications for amputation
uncontrolled infection
unconrolled pain
local tissue regrowth unfeasible
risks for diabetic ulcers
male
smoking history
diabetes long time
an ulcer on the ____ of the food is most likely to lead to amputation
heel
is silver dressings appropriate for infected wounds?
yes
occlusive and semi-occlusive dressings are indicated for wounds that…
are clean and uninfected
topical agents can be used for both clean and infected wounds (T/F)
false…
not for clean because you dont want to disrupt the wound bed
health belief model
perceived susceptibility, perceived seriousness, percieved barriers, perceived benefits, cues to action, self-efficacy
theory of planned behavior
intention to behave is a function of their attitude toward the behavior, their belief of what others think they should do, perceived level of difficulty or ease
trans theoretical model
aka stages of change… precontemplation, contemplation, preparation, action, maintenance
social cognitive theory
learning is reciprocal among a person’s environment, cognitive processes, and behavior
community readiness model
9 stages… no awareness, denial, vague awareness, preplanning, preparation, initiation, stabilization, confirmation/expansion, professionalisms,
diffusion theory
bell shaped curve of adopting a new thing in a population
innovators, early adopters, early majority, late majority, laggards
