PCT 29 Care of Wounds and Ulcers Flashcards
What happens during the inflammatory phase of wound healing?
Increase of blood and fluid to the site. Produces edema, redness, heat, and pain.
What holds wounds together?
Fibrin
Primary intention
Wound is closed and little tissue is lost.
Secondary intention
Wound edges are not closed or pus has formed.
Tertiary intention
Dr. leaves contaminated wound open to control infection.
Purulent drainage
pus like
Exudate
fluid
Granulation
soft, pink fleshy tissue seen when healing.
How much fluid per day?
2000-2400
Dehiscence
when incision separates
How soon before dressing change should pain meds be given?
30 mins
What should you do if a dressing has adhered to the wound?
Moisten it with sterile saline.
Serous
Clear and watery
Sanguineous
Bloody fluid
Serosanguineous
pink thin fluid
Closed drainage
an air tight circuit
Example of closed drainage?
Jackson-Pratt
Open drainage
open-ended tube
Suction drainage
uses a pump or other mechanical device to extract drainage
How often should the dressing be checked for bleeding in the first 24 hours post op?
every 2-4 hours
Shearing force
tissue layers slide on each other (friction)
Friction
skin rubbing on another surface
Stage 1 pressure ulcer
Intact skin, with redness
Stage 2 pressure ulcer
partial skin thickness loss- looks like a blister
