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Wound Care Exam 2 > Multi-Disciplinary - You're welcome to everyone..... > Flashcards

Multi-Disciplinary - You're welcome to everyone..... Flashcards

1
Q

what kind of wound(s) can saline be used on?

A

all wounds

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2
Q

what is betadine used for?

A

infection and exudate control

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3
Q

what is hydrogen peroxide used for?

A

infection, inflammatory phase, first 48 hours

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4
Q

what is dakin’s solution used for?

A

infection and odor

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5
Q

what is acetic acid used for?

A

pseudomonous infections

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6
Q

how much pressure is a ulna boot?

A

30-40 mmHg

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7
Q

what is a ulna boot typically used for?

A

venous edema

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8
Q

how much pressure is a multilayer compression?

A

30-40 mmHg

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9
Q

what is multi-layer compression used for?

A

venous edema

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10
Q

how much pressure is light compression

A

10-20 mmHg

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11
Q

what is manual lymphatic drainage therapy used for?

A

lymphedema… duhhhhhhhhhhhhh

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12
Q

edema can reduce oxygen to the wound by ___%

A

40

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13
Q

should you use compression on arterial ulcers?

A

NO… venous = edema

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14
Q

what is contamination?

A

all wounds have non-replicating bacteria and does not impede healing

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15
Q

what is colonization

A

increased number of bacteria replicating in wound without house reaction - does not impede healing

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16
Q

what is critical colonization?

A

bacteria multiplying in wound with local signs… causing delayed healing

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17
Q

what is infection?

A

causes systemic response

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18
Q

how can you obtain pressure re-distribution? (6)

A

positioning, support surfaces, shoe inserts, casting, PT, pressure mapping

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19
Q

what is the definition of pressure re-distribution?

A

move pressure from high risk areas to lower risk areas

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20
Q

Tissue Load Management: Foam

A

first line of defense

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21
Q

what is a disadvantage of foam?

A

moisture retention and heat retention

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22
Q

when should you not use foam for pressure redistribution?

A

obese patients and incontinent patients

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23
Q

Tissue Load Management: fluid-filled surfaces

A

air, gel, water; high degree of immersion

24
Q

what could possibly be a disadvantage?

A

retain heat… dependent on type of fluid used

25
Q

Tissue Load Management: low air loss systems

A

connected, air filled cushions with air pump; adjusts to patient’s body weight distribution

26
Q

For low air loss systems, immersion is ___________

A

moderate.

27
Q

Tissue Load Management: air-fluidization

A

fluidotherapy in a bed…. (warm air)

28
Q

what is the gold standard for pressure redistribution?

A

air-fluidization

29
Q

Air fluidization has a _______ level of immersion

A

high

30
Q

what should you watch for with air fluidization

A

dehydration

31
Q

Tissue Load Management: alternating pressure

A

changes the bed-to-body contact points…. no immersion

32
Q

how often should you turn a patient?

A

at least every 2 hours… dependent on co=-morbidities

33
Q

what is the gold standard for heel load management?

A

float the heel - multi podus boot

34
Q

what are 4 things that are related to PT and pressure redistribution?

A

AD, WBing status, Mobility training (ambulation) and transfer training

35
Q

what is pressure mapping?

A

system used to identify area of increased pressure or WBing… sit on a map in the w/c

36
Q

what are the advantages of pressure mapping?

A

specific to patient, identifies high risk for pressure ulcers, specific areas of breakdown, educates family/pt on importance of pressure relief

37
Q

who will benefit from pressure mapping?

A

patient with hx of skin breakdown/pressure ulcers, and anyone with current pressure ulcers

38
Q

what are different pressure mapping position?

A

posture, leaning, push-ups, gluteal sets, reclining and tilting in w/c, and equipment adjustments

39
Q

what are considered appropriate referrals for pressure mapping?

A

pt who have risk factors for skin breakdown/pressure ulcers, pt who qualify for new equipment; and pts who would benefit from additional education on pressure redistribution

40
Q

what are treatment options for pressure re-distribution?

A

cushions, w/c, lumbar rolls, adjustments made to w/c, and MANY MORE… call your MD or DME to know the more options…. tyler, i assign this to you

41
Q

what is the risk assessment tool used for pressure ulcers?

A

braden scale

42
Q

what is the score for mild risk

A

15-16

43
Q

what is the score for moderate risk?

A

12-14

44
Q

what is the score for high risk

A

<12

45
Q

what 2 things should PT educate patients on?

A

skin care and foot care

46
Q

What are some techniques for skin care?

A

bathe, moisturize, don’t rub bony prominences (haha), stop smoking, positioning every 2 hours, clean incontinence immediately

47
Q

what are some techniques for foot care?

A

same as the last test

48
Q

what are the first signs of skin breakdown that you should educate your patient?

A

redness, irritation, pain, change in color/temp, callus and blisters, weeping, and bruising

49
Q

what are “vascular needs”

A

angioplasty, venous repair, exercise/ambulation, medications, stop smoking

50
Q

pulse palpitation is not accurate due to false positives and negative in what type of disease?

A

microvascular disease

51
Q

what are components of podiatry?

A

foot and nail care, fungal infections, debridement, off loading and surgical intervention

52
Q

what are the surgical options?

A

vascular, plastic/reconstructive surgery, orthopedic, podiatric, and general

53
Q

medical options

A

you probably won’t need to know the list but if you want to look, it on page 7

54
Q

what is pallative care?

A

focus shifts to wound management and protection from infection, odor and pain control

55
Q

what are some “answers” to pain management issues?

A

deep breathing, breaks, distraction, music, empathy

Wound Care Exam 2 (4 decks)

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