Pressure Ulcer Flashcards

1
Q

Any lesion caused by unrelieved
pressure usually over a bony
the prominence that results in damage to underlying tissue

A

Pressure Ulcer

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2
Q

Stages of Pressure

A

Stage 1
Stage 2
Stage 3
Stage 4

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3
Q

Only the epidermis is affected; non-blanching erythema

A

Stage 1

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4
Q

Epidermis and Dermis are affected; Shallow opening; blisters

A

Stage 2

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5
Q

Subcutaneous tissue is affected or fascia

A

Stage 3

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6
Q

Fascia + bone, tendon, muscle, or cartilage affectation

A

Stage 4

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7
Q

A pressure ulcer wherein the bottom of the sore cannot be seen

A

Unstageable

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8
Q

It is when the surface of the skin looks like a stage 1 or 2 sore, but underneath it’s a stage 3 or 4.

A

Suspected Deep Tissue Injury (SDTI)

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9
Q

Intact skin with non-blanchable erythema

A

Stage 1

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10
Q

Extravasation of blood from ischemic leaky blood vessels

A

Stage 1

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11
Q

Partial thickness skin loss involving the epidermis and/or dermis.

A

Stage 2

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12
Q

Superficial ulcer and presents as an abrasion, blister, or shallow crater

A

Stage 2

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13
Q

Full-thickness skin loss involving damage to, or necrosis of, subcutaneous that may extend down to, but not through underlying fascia.

A

Stage 3

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14
Q

Presents clinically as a deep crater with or without undermining adjacent tissue.

A

Stage 3

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15
Q

Full-thickness skin loss with extensive destruction,
tissue necrosis, or damage to muscle, bone, or
supporting structures

A

Stage 4

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16
Q

Undermining and sinus tracts also may be associated
with this stage of pressure ulcers

A

Stage 4

17
Q

Appears at the medial aspect of the leg and caused by venous insufficiency

A

Venous Ulcer

18
Q

It presents with a beefy red color and is painless. Can be treated with compression.

A

Venous Ulcer

19
Q

Complete or partial arterial blockage may lead to tissue
necrosis and/or ulceration.

A

Arterial wounds

20
Q

Signs on the extremity with arterial wound

A

Pulselessness of the ex.
Painful ulceration
Small, punctuated ulcers
Cold skin
Delayed capillary return

21
Q

A tissue is transferred from one part of the body to another.

A

Autograft

22
Q

tissue transferred from genetically different individuals of the same species. It is skin from another human (possibly a cadaver) is
used.

A

Homograft/Allograft

23
Q

A graft transferred from an individual of one species to an individual of another species

A

Xenografts

24
Q

Most effective animal skin used for xenografts

A

Tilapia skin

25
Q

These are usually the
result of blunt trauma or friction with other surfaces

A

Non-penetrating wounds

26
Q

Types of non-penetrating wounds

A

Abrasions
Lacerations
Contusions
Concussions

27
Q

Scraping of the outer layer of the skin

A

Abrasion

28
Q

A tear-like wound

A

Laceration

29
Q

Swollen bruises due to accumulation of blood and dead cells under the skin

A

Contusions

30
Q

Damage to the underlying organs and tissue on the head with no significant external wound

A

Concussions

31
Q

These result from trauma that
breaks through the full thickness of the skin; reaching down to the underlying tissue and organs

A

Penetrating wounds

32
Q

Trauma from sharp objects

A

Stab wounds

33
Q

Intentional cuts in the skin to perform surgical procedures

A

Surgical wounds

34
Q

Wounds resulting from firearms

A

Gunshot wounds

35
Q

Wounds caused by extreme temperature (ex: burn and frostbite)

A

Thermal wounds

36
Q

These result from contact with or
inhalation of chemical materials that cause skin or lung
damage

A

Chemical wounds

37
Q

Bites can be from humans, dogs, bats, rodents, snakes, scorpions, spiders, and tick

A

Bites and Stings

38
Q

These usually present with superficial burn-like or sting
of high-like wounds secondary to the passage of voltage electrical currents through the body.

A

Electrical wounds