Principles of Acute and Chronic Wound Management Flashcards
History of wound: OLDCART
Onset Location Duration Characteristic/course Associated symptoms Reliving factors Treatments (previous)
Iron
Hemoglobin formation
O2 transport
Zinc
Cofactor for collagen synthesis
Vitamin A
Cellular integrity
Epithelialization
Angiogenesis
Inflammation
B complex
Thiamine Riboflavin Niacin B6 & 12 Folic acid
Immune response
Synthesize macronutrients
Vitamin C
Collagen synthesis
Capillary wall integrity
Fibroblast function
Immune function
Essential fatty acids
Cell walls
Albumin level
3.2 - 5
Half life: 14-20 days
Nutritional factors:
Pre-albumin level
16 - 42
Carrier protein for thyroid hormone
Transports Vitamin A
Half life: 2-3 days
Hemoglobin
12 - 16
Transferrin
200 - 400
Half life: 8-10 days
Not meaningful measure - easily impacted
Total lymphocyte count (TLC)
1500 - 3000
Undernutrition =
Protein requirement
If wound 1.0 - 1.5 gm/kg
Fluid requirement
30-40 ml/kg