integumentary practice test 1/19 Flashcards
wagner ulcer grade?
- diabetic ulcer that penetrates the subcutaneous tissue
- extending into the subcutaneous fat and fascia
- no gangrene, osteomyelitis
grade 2 - goes down to sub Q
deep ulcer penetrating into the subcutaneous tissue, but without gangrene.
wagner ulcer grade?
- no ulcer formed yet
grade 0
wagner ulcer grade?
- osteomyelitis present
grade 3
wagner ulcer grade?
gangrene required amputation
grade 5
type of ulcer?
lateral leg, pulseless, cool, painful
arterial insufficiency
type of ulcer?
medial leg, irregular borders, painless
leg swollen, red, warm to touch
Venous insufficiency
type of ulcer?
bony prominences, shows non-blanchable redness at the perimeter of the wound, pink appearance.
pressure
type of ulcer?
bony prominence, began as a small scrape or blister several months ago, concomitant diagnosis of diabetic neuropathy
diabetic neuropathic
superficial or deep wound?
dressing:
- transparent film
- polymeric membrane dressings
superficial disruption of skin
granulating, eschar, slough or infected? dressing: - Alginates - Hydrofibers - Foams - PMDs polymeric membrane dressings
exudates, absorbent
what type of wound to use these dressings?
- Hydrocolloids
- Hydrogels
- PMDs polymeric membrane dressings
Granulating, epithelializing wounds
Eschar
granulating, eschar, slough or infected? dressing: - Protease lowering dressings - Hydrogels - hydrocolloids
Fibrinous wound bed, slough
superficial or deep wound? dressing: - PMDs polymeric membrane dressings - Alginates - Hydrofiber - hydrocolloid
Deep wounds
granulating, eschar, slough or infected?
dressing:
- Silver
- Iodide
Colonized or infected wounds
burns to what part of body?
can cause high levels of edema and respiratory distress
what intervention?
Burns to the face and neck
- requiring intubation and surgical interventions.
what pressure ulcer stage?
extends through cutaneous tissue with subcutaneous fat visible
Stage III is a full thickness skin breakdown
common interventions to prevent hypertrophic scarring
Compression wraps and pressure garments, combined with scar massage
what term?
wound splitting open along a surgical suture site.
- typically from trauma to the wound
Dehiscence
healing time?
extremely minor superficial burn
1-3 days
healing time?
superficial burn
2-5 days
healing time?
deep partial-thickness burn.
15-30 days
healing time?
superficial partial-thickness burn
6-20 days
dressings:
- foam
- collagen
- calcium alginate
granular wound that is draining
- all highly absorbent, good for granular wound
what pathology?
- infection in the skin and underlying tissues after bacterial contamination of a wound.
- Pain, tenderness to palpation, swelling, warmth, erythema with an advancing irregular margin, and reddish streaks near the wound,
- fever, chills, and malaise, are present
Cellulitis
type of dressing
- disrupt the formation of granular tissue in a wound bed.
- will result in delayed healing due to hypogranulation and little to no epithelialization.
Wet-to-dry dressings
