pressure ulcers

Question 1

what are the mc sites from waist down?

Answer 1

iliac crests
sacrum
greater trochanters
ischial tuberosities
lateral malleli

Question 2

what age is more likely to get pressure ulcers?

Answer 2

> 70

Question 3

skin pressure exceeds pressure in __-___ and __ causing ischemic necrois of tissue

Answer 3

end arterioles, capillaries

Question 4

causes of pressure ulcers

Answer 4

pressure, friction, shearing, maceration

Question 5

risk factors fore pressure ulcers?

Answer 5

immoblility,
incontinence
malnutrition
PVD, DM, dementia

Question 6

prevention of pressure ulcers

Answer 6

examine daily
protect pressure points
adequate nutrition
avoid excessive sedation
turning schedule (q 2 hrs)
special mattress

Question 7

non blanching erythema of intact skin

Answer 7

stage 1

Question 8

partial thickness including epidermis and dermis. (blister or abrasion)

Answer 8

stage 2

Question 9

full thickness, deep crater. Necrosis of subcutaneous tissue that may extend to underlying fascia

Answer 9

stage 3

Question 10

tissue necrosis, damage to bone, muscle and/or supproting structures

Answer 10

stage 4

Question 11

treatment stage1 and 2

Answer 11

clean and apply protective, transparent dressing

Question 12

treatment stage 3 and 4

Answer 12

prolonged and expensive treatment by irrigation, debriedment of necrotic tissue, healing by secondary intention or surgical closure

Question 13

infection complications

Answer 13

cellulitis, osteomyelitis, bacteremia, and/or sepsis