Integ. Lecture 2 Test 1 Flashcards
What happens in the hemostasis phase in normal wound healing?
Blood clots form
Bleeding stops
Blood clot is broken down
How long does the hemostasis phase last in normal wound healing?
0-2 minutes
should be in full production by 2 hours
What happens in the inflammatory phase of normal wound healing?
Vascular
Exudate
Reparative
What happens in the vascular stage of the inflammatory process?
leakage fluid
proteins into wound
brings in allow needed structures to survive
What happens in the Exudate stage of the inflammatory phase?
Neutrophils come first
begin clean up
battle foreign debris and bacteria
What happens in the Reparative stage of the inflammatory process
Macrophages come in
wound healing begins*****
Battle bacteria and dead cells
Begin to lay down new tissue
What happens in the proliferative/epithelialization phase and when does it start?
starts around 2 days to 2 weeks
Granulation angiogenesis (new blood cells) New ECM (extra cellular matrix) -Fibroblasts, new vessels, and collagen Contraction via myofibroblasts Epithelialization
How long does the inflammatory phase last?
0-2 days
What happens in the remodeling phase?
Type 3 collagen to type 1 collagen
Decrease in vascular need=pink, turning to white
+3 year process of change
How long does the remodeling phase last?
2 year to 2 weeks (toughening the skin)
T/F Any acute injury beyond the epidermis and through the BMZ causes bleeding?
TRUE
T/F Overlapping occurs during the different phases of normal wound healing?
TRUE
What helps to stop the bleeding of the a wound during the hemostasis phase?
Aggregation and activation of platelets
What type of cells release clotting factors?
Injured
What does a blood clot consist of?
Fibrin
Aggregated platelets
Blood cells
Hemostasis is further achieved by a brief period of _________ to the injured area
Vasoconstriction
What is the purpose of the clot?
- Seals disrupted vessels to control blood loss
- Provides a temporary bacterial barrier
- Provides a reservoir of growth factors
- Provides an interim matrix that serves as scaffolding for migrating cells
What is the process of breaking down a clot?
Fibrinolysis
What happens 10-15 minutes after tissue injury in the inflammatory phase?
Vasoconstriction subsides
Vasodilation and cell permeability increases
Chemoattraction by damaged cells and platelets attract leukocytes to clean up the area
First cells to arrive in the new wound are?
Neutrophils
—Present within minutes of the injury and dominate the area for 2-3 days
Primary function of neutrophils?
Remove bacteria and foreign debris via phagocytosis
After neutrophils arrive to the injured site what cells come in next?
Macrophages
What is the role of macrophages?
finishing bacteria and breaking down damaged tissue removal
Damaged cells are replaced
What is the process that occurs during the proliferative stage?
Granulation
Angiogenesis
Wound Contraction
Epithelialization
What happens during the granulation phase in proliferative phase?
Fibroblasts and capillary buds develop at the edges of the wound and gradually advance toward the center forming a bed of granulation (from the edges to the middle)
When does the granulation phase happen? (how many days out)
3-4 post injury after the inflammatory phase subsides