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NPTE Other Systems > Integ & Wound Healing > Flashcards

Integ & Wound Healing Flashcards

1
Q

What are the key functions of the integ system?

A
  • Protection
  • Sensation
  • Thermoregulation
  • Excretion of sweat
  • Vitamin D
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2
Q

What happens during the Inflammatory Phase of wound healing and when does it take place?

A

1 to 10 days

  • Initial response
  • Re-establish homeostasis
  • Clean wound bead
  • Signals tissue restoration to begin
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3
Q

What happens during the Proliferative Phase of wound healing and when does it take place?

A

3 to 21 days

  • Capillary buds and granulation tissue form
  • Skin integrity restored
  • Wound closure
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4
Q

What happens during the Maturation Phase of wound healing and when does it take place?

A

7 days to 2 years

  • Remodeling phase
  • Shrink and thinscar
  • Strengthened scar
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5
Q

What is primary intention wound healing?

A
  • Heal quickly
  • Minimal scarring
  • Minimal tissue loss
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6
Q

What is secondary intention wound healing?

A
  • Ongoing wound care
  • Associated with pathology (ex: DM2)
  • Larger scars
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7
Q

What is tertiary intention wound healing?

A

aka Delayed Primary Intension

  • Temporarily left open until risk is gone
  • Closes using primary intention
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8
Q

Arterial vs Venous vs Neuropathic:

Where are they located?

A

Arterial

  • Lower 1/2 leg
  • Toes
  • Web spaces

Venous
- Prox to med malleolus

Neuro
- Areas susceptible to pressure or shear

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9
Q

Arterial vs Venous vs Neuropathic:

What is there appearance?

A

Arterial
- smooth edges/deep

Venous
- Irregular/shallow

Neuro

  • oval or circle
  • no necrosis -> good granulation
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10
Q

Arterial vs Venous vs Neuropathic:

How much exudate?

A

Arterial: min

Venous: mod/heavy

Neuro: low/mod

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11
Q

Arterial vs Venous vs Neuropathic:

How much pain?

A

Arterial: SEVERE

Venous: mild/mod

Neuro: None - may have dysesthias

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12
Q

Arterial vs Venous vs Neuropathic:

Is there a pedal pulse?

A

Arterial: diminished/absent

Venous: Normal

Neuro: diminished/absent

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13
Q

Arterial vs Venous vs Neuropathic:

How edema?

A

Arterial: Normal

Venous: INCREASED

Neuro: normal

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14
Q

Arterial vs Venous vs Neuropathic:

What is the skin temp compared to other parts of the body?

A

Arterial: DECREASED

Venous: normal

Neuro: DECREASED

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15
Q

Arterial vs Venous vs Neuropathic:

What are the tissue changes?

A

Arterial:

  • thin and shiny
  • hair loss
  • yellow nails

Venous:

  • flaking, dry skin
  • brownish discoloration

Neuro:

  • dry, inelastic
  • shiny skin
  • dec/absent sweat and oil production
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16
Q

Arterial vs Venous vs Neuropathic:

What are the misc considerations?

A

Arterial: legs up = pain

Venous: legs down = pain

Neuro: loss of protective sensation

17
Q

What are the rankings on the Wagner Ulcer Grade Classification Scale?

A 
0 = No lesion
1 = Superficial
2 = Deep to fat
3 = Deep to bone
4 = Gangrene
5 = Gangrene needing amputation
18
Q

What types of ulcers does the Wagner Ulcer Grade Classification Scale evaluate?

A

Dysvascular ulcers:

  • Diabetic foot ulcers
  • Neuropathic, ischemic, or arterial etiology
19
Q

What are the stages of Pressure Ulcer Staging?

A

Stage I = intact, blanchable
Stage II = Partial thickness loss
Stage III = Full thickness (maybe fat)
Stage IV = Full thickness - exposed bone tendon or muscle
Suspected Deep Tissue Injury: Discolored intact skin or blood blister
Unstageable: Full thickness - base covered by slough

20
Q

For Exudate Classification, what is Serous?

A
  • Clear
  • Light color
  • Thin, watery consistency
  • *normal in healthy healing
21
Q

For Exudate Classification, what is Sanguineous?

A
  • red color (blood)
  • thin, watery consistency
  • *new blood vessel growth of disruption of blood vessels
22
Q

For Exudate Classification, what is Serosanguineous?

A
  • light red or pink color
  • thin, watery consistency
  • *Normal in inflammatory and proliferative phases of healing
23
Q

For Exudate Classification, what is Seropurulent?

A
  • cloudy, opaque + yellow or tan color
  • thin, watery consistency
  • *Early warning sign of infection
24
Q

For Exudate Classification, what is Purulent?

A
  • Yellow of green
  • Thick, viscous consistency
  • *Wound infection
25
Q

What is Eschar?

A

hard, leathery, dehydrated tissue - firmly adhered to wound

26
Q

What is Gangrene?

A

death/decay from lack of blood flow

- typically in extremities

27
Q

What is Hyperkeratois?

A

callus

- firm to soggy

28
Q

What is Slough?

A
  • Moist
  • Stringy or mucinous
  • White/yellow
  • loosely attached to wound bed in clumps
29
Q

What are the types of Selective Debridement?

A
  • Sharp Debridement
  • Enzymatic Debridement
  • Autolytic Debridement
30
Q

What are the types of Non-selective Debridement?

A
  • Wet-to-dry dressings
  • Wound irrigation
  • Hydrotherapy

NPTE Other Systems (1 decks)

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