Practical

Question 1

Wound Assessment-clock

Answer 1

measure length at 12-6 and 9-3, then multiply to get SA (cm3)

Question 2

Wound Assessment-greatest

Answer 2

measure greatest length of wound, measure greatest width of wound, then multiply to get SA (cm3)

Question 3

Wound Assessment-planimetry

Answer 3

trace the wound with a plastic sandwich bag, trace it on graph paper and count the blocks

Question 4

depth measurment

Answer 4

can measure actual depth with cotton tipped applicator

Question 5

descriptions of alginate dressing

Answer 5

foam containing an acidic gelling component derived from seaweed

Question 6

indications for alginate dressing

Answer 6

exuding wounds, donor sites, infected wounds

Question 7

contraindications for alginate dressing

Answer 7

dry wounds

Question 8

precautions for alginate dressing

Answer 8

need to be changed daily in infected wounds

Question 9

notes on alginate dressing

Answer 9

comes in sheets, ropes, and packing
cut to shape of wound
cover with a secondary dressing

Question 10

Descriptions of films

Answer 10

thin membranes coated with acrylic adhesive that are semi-permeable to moisture vapor and oxygen, but impermeable to moisture and microorganisms

Question 11

indications for film

Answer 11

pressure ulcers, burns, abrasions, post-surgical wounds, wounds with slough, over catheter sites

Question 12

contraindications for film

Answer 12

exuding wounds, infection, deep cavities, full-thickness burns

Question 13

precautions for film

Answer 13

damaged or frail skin

Question 14

notes for film

Answer 14

overlap wound 4-5cm, can leave on up to 7 days

Question 15

Description of foam

Answer 15

soft sheets of polyurethane that are absorbent

Question 16

indications for foam dressing

Answer 16

exuding wounds, leg ulcers, pressure ulcers, sutured wounds, cavities, skin grafts, donor sites, minor burns, around trachs, drainage tubes and catheters

Question 17

countraindications of foams

Answer 17

dry wounds

Question 18

precautions of foams

Answer 18

need to be carefully monitored if there is too much exudate to be absorbed

Question 19

notes on foam dressings

Answer 19

affix with light cohesive bandage or tape
remove within 7 days
remove within 4 days when used as a secondary dressing

Question 20

description of gauze

Answer 20

the worst ever

Question 21

indications of gauze

Answer 21

as a secondary dressing only

Question 22

contraindications of gauze

Answer 22

any wound

Question 23

precautions of gauze

Answer 23

may cause periwound maceration, contamination with shedding, loss of tissue temp and loss of healthy tissue

Question 24

description of hydrocolloids

Answer 24

gel-like substance that comes as films, foams, granules, powders and pastes

Question 25

indications of hydrocolloid dressings

Answer 25

superficial leg ulcer, burns, donor sites, small cavity wounds, over sutures

Question 26

contraindications of hydrocolloid dressing

Answer 26

none

Question 27

precautions of hydrocolloid

Answer 27

hypergranulation, deep cavity wounds, heavily exuding wounds, infected wounds, hypergranulating wounds

Question 28

notes on hydrocolloid wounds

Answer 28

remove within 5-7 days, when using over sutures, leave in place until suture removal

Question 29

description of hydrogels

Answer 29

gel or sheet that is absorbent

Question 30

indications of hydrogels

Answer 30

leg ulcers, pressure wounds, necrotic wounds, simple and partial thickness burns, chickenpox and shingles

Question 31

contraindications of hydrogels

Answer 31

propylene-glycol sensitivity

Question 32

precautions of hydrogels

Answer 32

infected wounds, excessively exuding wounds

Question 33

notes of hydrogels

Answer 33

remove after 3 days by irrigation

Question 34

burn body surface area estimation

Answer 34

rule of 9s