Integumentary Part Three Flashcards

1
Q

what are bioseynthetic grafts

A

combination of collagen and synthetics

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2
Q

what are autolytic dressings

A

use of moist dressings sch as hydrogels or hydrocolloids

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3
Q

xenograft AKA

A

heterograph

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4
Q

sanguineous exudate

A

contains blood

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5
Q

allograft

A

use of other human skin (cadaver skin)

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6
Q

purulent exudate

A

contains pus

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7
Q

a Bates-Jensen wound assessment tool would be used for

A

decubitis (pressure) ulcer

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8
Q

xenograph

A

use of skin from other species (pigskin)

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9
Q

what is full-thickness graft

A

contains epidermis and upper layers of dermis from donor site

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10
Q

what is an indolent ulcer

A

ulcer that is slow to heal

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11
Q

when is compression for venous/arterial ulcers contraindicated

A

when ABI is less than 0.7

DVT

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12
Q

dark pigmentation (not skin tone) AKA

A

hemosiderosis

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13
Q

what is sulfamylon

A

penetrates through eschar

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14
Q

diabetes is associated with

A

arterial disease

peripheral neuropathy

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15
Q

hemodierosis is common with

A

venous ulcers

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16
Q

gold standard for DVT assessment

A

venogram

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17
Q

what is split-thickness graft

A

contains epidermis and upper layers of dermis and donor site

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18
Q

The Wagner Classification System is used for

A

diabetic ulcers

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19
Q

clean red wounds indicate

A

healthy granulating wounds (in need of protection)

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20
Q

black wounds indicate

A

covered with eschar (dried necrotic tissue)

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21
Q

how are pulses with venous ulcers

A

normal

22
Q

how is pain with venous ulcer

A

none to aching pain in dependent position

23
Q

what classification system is used for diabetic ulcers

A

Wagner Classification

24
Q

what is maceration

A

softening of skin associated with excessive moisture

25
Q

pain with diabetic ulcer?

A

not really, nah

26
Q

what type of scar stays within the boundaries of the burn

A

hypertrophic

keloid extends beyond boundaries

27
Q

location of pressure ulcers (in general)

A

over bony prominences

28
Q

purpose of hydrogels or hydrocolloids (autolytic dressings)

A

help remove eschar

29
Q

how is skin surface temperature done

A

thermistor (temperature probe)

30
Q

emergency care for burns

A

immersion in cold water

cold compress

sterile bandage (no ointments or creams)

31
Q

what is silver sulfadiazine

A

common topical agent

32
Q

appearance comparison for arterial and venous ulcers

A

arterial: irregular, smooth edges, DEEP
venous: dark pigmentation, fibrotic, SHALLOW

33
Q

pain with indolent ulcer

A

NOPE

34
Q

autograft

A

use of patient’s own skin

35
Q

how to measure depth of a wound

A

insert sterile cotton tip applicator into deepest part of wound

36
Q

examples of mechanical debridement

A

wet to dry dressings

pulsed lavage

gentle washing

37
Q

where do diabetic ulcers appear

A

where arterial ulcers appear

peripheral neuropathy appear (plantar aspect of the foot)

38
Q

what does dermal healing result in

A

scar formation

39
Q

drainage comparison for arterial and venous ulcers

A

arterial: no drainage
venous: moderate to large amount of exudate

40
Q

pain comparison for arterial and venous ulcers

A

arterial: painful (especially with elevation)
venous: little pain, comfy with elevation

41
Q

common hand deformity following burn

A

claw hand

42
Q

when is allograft used

A

temporary grafts for large burns

until autograft is available

43
Q

serous exudate

A

watery serum

44
Q

gangrene with venous ulcers?

A

nein

45
Q

what is tunneling

A

underlying tissue destruction beneath intact skin

46
Q

what is an unstageable pressure ulcer grade

A

tissue depth is obscured due to slough or eschar

extent of damage can’t be determined

47
Q

yellow wounds indicate

A

include slough (necrotic or dead tissue)

48
Q

what scales (3) are used to determine risk for pressure ulcers

A

Gosnell

Braden

Norton

49
Q

staging for venous, arterial, and diabetic ulders are used for…

A

partial and full-thickness classifications

50
Q

how are pulses with arterial ulcers

A

decreased/absent

51
Q

most common places for venous ulcers

A

anywhere in the lower leg

medial malleolus common