Integumentary Flashcards
Examples of partial thickness wounds
Abrasion
Blister
Skin tear
The peeling or shedding of the outer layers of the epidermis
Desquamation
This type of wound extends through the dermis into deeper structures such as subcutaneous fat
Full-thickness
What type of wound does primary intention occur in
Acute wounds with minimal tissue loss
This stage of pressure ulcer involves full-thickness tissue loss.
Subcutaneous fat maybe visible bone, tendon, or muscle or not exposed
Stage 3
This type of wound extends through the integumentary tissues and involves deeper structures such as subcutaneous fat, muscle, tendon, or bone.
Subcutaneous wound
A burn involving the epidermis and the upper portion of the dermis
Superficial-partial thickness
Debridement that refers to the topical application of an enzymatic preparation to the necrotic tissue
Enzymatic
described as moist, stringy or mucinous, white/yellow tissue but tends to be loosely attached in clumps to the wound bed
Slough
What is contained in the dermis
Hair follicles
Sebaceous glands
Sweat glands
Lymphatic/blood vessels
Nerve endings
The separation, rupture or splitting of a wound closed by primary intention. This disruption of previously approximated surfaces maybe superficial or involve all layers of tissue
Dehiscence
Type of drainage that presents with a yellow or green color and a thick, viscous consistency
Purulent
A localized swelling or mass of clotted blood confined to a tissue, organ, or space usually caused by break in a blood vessel
Hematoma
A burn involves the complete destruction of the epidermis dermis and subcutaneous tissue
Subdermal
This type of wound extends through the epidermis and possibly into, but not through, the dermis.
Partial-thickness
A burn involving only the outer epidermis
Superficial burn
A burn that involves complete destruction of the epidermis and the majority of the dermis
Deep partial-thickness burn
Type of tissue that is described as hard or leathery, black/brown, dehydrated tissue that tends to be firmly adhered to the wound bed
Eschar
A burn involving complete destruction of the epidermis and dermis along with partial damage to the subcutaneous fat layer
Full-thickness
I diffuse redness of the skin often resulting from capillary dilation and congestion or information
Erythema
Also referred to as callous, this is typically white/gray in color and can vary in texture from firm to soggy depending on the moisture level and surrounding tissue
Hyperkeratosis
An abnormal scar formation that is out of proportion to the scarring required for normal tissue and is compromised of irregularly distributed collagen bands
Keloid
An abnormal scar resulting from excessive college information during healing
Hypertrophic scar
The drying out or dehydration of a wound
Desiccated
A scar characterized by the organized formation of collagen fibers that align in a parallel fashion
Normotropic
The relative speed with which the skin resumes it’s normal appearance after being lightly pinched. It is an indicator of skin elasticity and hydration normally occurs more slowly in older adults
Turgor
Debridement that requires the use of a scalpel, scissors, and/or forceps to selectively remove devitalized tissue, foreign material or debris from a wound
Sharp
This stage of a pressure ulcer involves a partial-thickness tissue loss of the dermis presenting as a shallow open ulcer with a red or pink wound bed.
Stage 2
The death and decay of tissue resulting from an interruption in blood flow to an area of the body
Gangrene
Type of debridement that refers to the use of the bodies own mechanisms to remove nonviable tissue
Autolytic
What type of healing involves using staples, stitches, etc. to reapproximate wounds
Primary healing
The stage of a pressure ulcer in which skin is intact with non—blanchable redness of a localized area usually over a bony prominence
Stage 1
The area of the burn that receive the most severe injury with irreversible cell damage
Zone of coagulation
Stage of pressure ulcer involving full-thickness tissue loss with exposed bone, tendon, or muscle that is visible or directly palpable
Stage 4
“Wounds healing by ———- intention typically have minimal scarring and heal quickly in an uncomplicated and orderly progression.”
Primary
Type of dressing that refers to an application of a moistened gauze dressing over an area of necrotic tissue
Wet to dry
This type of wound causes trauma to the skin with the epidermis remaning in tact, such as a non-blistering sunburn.
Superficial wound
The area of less severe injury that possesses reversible damage in surrounds the zone of coagulation
Zone of stasis
The area surrounding the zone of stasis that presents with inflammation, but will fully recover without any intervention or permanent damage
Zone of hyperemia
The skin softening in the generation that results from prolonged exposure to water or other fluids
Maceration
Healing by ________ permits wounds to close on their own without superficial closure
Secondary intention
Type of drainage that presents with a red collar and Ethan, watery consistency. The red appearance is due to the presence of blood which may become brown if allowed to dehydrate
Sanguineous
The discoloration occurring below intact skin resulting from trauma to underlying blood vessels and blood seeping into tissues
Ecchymosis
Tissue that right away tears, fragments, or bleeds when gently palpated or manipulated
Friable
Type of drainage that presents with a clear, light color and a thin, watery consistency
Serous
