(LAB) WOUND CARE Flashcards

1
Q

refers to specific types of treatment for pressure sores, skin ulcers and other wounds that
break the skin

A

Wound care

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2
Q

Protect wound from injury, prevent introduction and spread of bacteria,
reduce discomfort, and speed healing.

A

Dry Dressings

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3
Q

Ideal dressing is:

A

Easy to apply.
Conforms to body contours, Durable but flexible,
Able to absorb or contain exudate,
Easily removed without damage to the healing surface, and
Acceptable in appearance

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4
Q

Oldest and most common type

Do not interact with wound tissues and cause little wound irritation

A

Dry woven gauze dressings

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5
Q

Types of Wound Drainage

A

Serous
Purulent
Sanguineous
Serosanguineous

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6
Q

Clear, watery plasma

A

Serous

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7
Q

Thick, yellow, green, tan, or brown

A

Purulent

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8
Q

Bright red: Indicates active bleeding

A

Sanguineous

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9
Q

Pale, red, watery:
mixture of serous and sanguineous

A

Serosanguineous

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10
Q

Non-infectious dry waste

A

Black

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11
Q

Non-infectious wet waste (kitchen, dietary etc.)

A

Green

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12
Q

Infectious and Pathological waste

A

Yellow

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13
Q

Chemical waste including those w/ heavy metals

A

Yellow with black band

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14
Q

Radioactive waste

A

Orange

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15
Q

Sharps and pressurized containers

A

Red

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16
Q

Purposes of Dressings

A
  1. Promote hemostasis by direct pressure and absorption of drainage.
  2. Support or immobilize a body part.
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17
Q

Assessment

A
  1. Assess size and location of wound to be dressed. Assists in planning for proper type and amount of supplies needed.
  2. Ask client to rate pain using a scale of 0 to 10. Client may require pain medication before dressing change.
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18
Q

(GREEN PAIN ICON)

A

NO PAIN ICON

19
Q

(YELLOW GREEN PAIN ICON)

A

MILD PAIN ICON

20
Q

(YELLOW PAIN ICON)

A

MODERATE PAIN ICON

21
Q

(DARK ORANGE PAIN ICON)

A

SEVERE PAIN ICON

22
Q

(ORANGE PAIN ICON)

A

VERY SEVERE PAIN ICON

23
Q

(RED PAIN ICON)

A

WORST PAIN POSSIBLE ICON

24
Q

PAIN LEVEL 0

A

NO PAIN

25
Q

PAIN LEVEL 1-3

A

MILD PAIN

26
Q

PAIN LEVEL 4-6

A

MODERATE PAIN

27
Q

PAIN LEVEL 7

A

SEVERE PAIN

28
Q

PAIN LEVEL 8-9

A

VERY SEVERE PAIN

29
Q

PAIN LEVEL 10

A

TERRIBLE PAIN

30
Q

_____ levels generally do not interfere with most day to day activities. Able to adapt to pain psychologically and with medication or devices such as cushions.

A

Mild pain icon

31
Q

_____ levels interfere with many daily activities. These pain levels usually require some lifestyle changes, but you can remain independent, however, you are unable to adapt to the pain

A

Moderate pain icon

32
Q

_____ levels, meaning you are unable to engage in your normal activities. The patient is considered disabled and unable to function independently.

A

Severe pain icon
Very severe pain icon

33
Q

No pain at all, you feel perfectly normal

A

Pain Level 0

34
Q

means very light barely noticeable pain, like a mosquito bite or a poison ivy itch. Most of the time you never think about the pain

A

Pain Level 1

35
Q

is discomforting minor pain, like lightly pinching the fold of skin between the thumb and first finger with the other hand, using the fingernails. People can react differently to this self- test

A

Pain Level 2

36
Q

is a tolerable, hut very noticeable pain, like an accidental cut, a blow to the nose causing a bloody nose, or a doctor giving you an injection. The pain is not so strong that you cannot get used to it. Eventually, most of the time you do not notice the pain, as you have adapted to it.

A

Pain Level 3

37
Q

is a distressing strong and deep pain, like an average toothache, the initial pain from a bee sting, or minor trauma to part of the body, such as stubbing your toe real hard. So strong you notice the pain all the time and cannot completely adapt. This pain level can be simulated by pinching the fold of he fold of skin between the thumb and first finger with the other hand, using the fingernails, and squeezing real hard. Note how the simulated pain is initially piercing but becomes dull after that.

A

Pain Level 4

38
Q

is a very distressing strong, deep, piercing pain, such as a sprained ankle when you stand on it wrong or mild back pain. Not only do you notice the pain all the time, you are now so preoccupied with managing it that you normal lifestyle is curtailed. Temporary personality disorders are frequent.

A

Pain Level 5

39
Q

is an intense pain that is strong, deep and piercing. The pain is so strong it seems to partially dominate your senses, causing you to think somewhat unclearly. At this point you begin to have trouble holding a job or maintaining normal social relationships. Comparable to a bad non-migraine headache combined with several bee stings, or a bad back pain.

A

Pain Level 6

40
Q

consists of very intense pain. Much the same as level 6 except the pain completely dominates your senses, causing you to think unclearly about half the time.. At this point you are effectively disabled and frequently cannot live alone. Comparable to an average migraine headache.

A

Pain Level 7

41
Q

excruciating pain, so intense you cannot tolerate it and demand pain killers or surgery, no matter what the side effects or risk. If this does not work, suicide is frequent since there is no more joy in life whatsoever. Comparable to throat cancer.

A

Pain Level 9

42
Q

is horrible pain. The pain you feel is so intense you can no longer think clearly at all and have often undergone severe personality change if the pain has been present for a lung time Suicide is frequently contemplated and sometimes tried. Comparable to childbirth or a real had migraine headache.

A

Pain Level 8

43
Q

means unimaginable pain. This pain level is to intense you will go unconscious shortly. Most people have never experienced this level of pain. Those who have suffered a severe accident, such as a crushed hand, and lost consciousness as a result of the pain and not blood loss, have experienced level 10.

A

Pain Level 10