Lab Deck For 2800 Flashcards
Necrotic type of tissue appearing to have a yellow, stringy texture and may adhere to the wound bed.
Slough
Composed of clear, serous portion of the blood from serous membrane
Fluid that accumulates in a wound; may contain serum, cellular debris, bacteria and white blood cells
Exudate
Persistent, Non-blanchable erythema of intact skin
Stage 1 pressure ulcer
Tissue destruction, extending along the edge of a wound, between the skin and subcutaneous tissue, but not into the subcutaneous tissue
Undermining
A thick, leathery scab or dry crust that is necrotic and must be removed for adequate healing to occur
Eschar
Compromised circulation secondary to pressure or pressure combined with friction
pressure ulcers/ injury
new tissue that is pink/red in color and composed of fibroblasts and small blood vessels that fill an open wound when it starts to heal
Granulation
Softening or breakdown of skin due to excessive exposure to moisture
Maceration
A path of tissue destruction that extends from any part of the wound, into or through subcutaneous tissue creating dead space
Tunneling
Partial thickness skin loss with exposed dermis. Without slough, eschar, granulation tissue or adipose tissue. May be an intact or ruptured blister.
Stage 2 pressure injury
Persistent non-blanchable deep red, maroon, or purple discoloration of non-intact or intact skin form damage due to prolonged pressure or shear
Deep Tissue Pressure Injury
Obscured, full thickness skin and tissue loss. Eschar and/or slough obscures the wound bed, actual depth of injury is unknown
Unstageable Pressure Injury
Full-thickness skin and tissue loss with cartilage, bone, fascia, muscle, ligaments or tendon exposed in the wound. Tunneling and/or undermining are common
Stage 4
Full thickness skin loss with visible adipose tissue. Possible granulation tissue, some slough and/or eschar could be present. Possible undermining or tunneling.
Stage 3
