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(3) PT in Special Conditions > S1L1: Wound Management > Flashcards

S1L1: Wound Management Flashcards

1
Q

T/F: Cleansing method should be selected on its ability to support or return a wound bed to homeostasis

A

True

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2
Q

T/F: Whirlpool is a cleansing agent only

A

False: Both a cleansing agent and mechanical
debridement

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3
Q

T/F: Whirlpool use selective mechanical debridement

A

False: non-selective

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4
Q

T/F: In whirlpool, there is Large risk of contamination of wound

A

True

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5
Q

● Basically, it is a cleansing tool which uses suction to clear out well the debris from the irrigation process
● AKA Forceful irrigation

A

PULSATILE LAVAGE WITH SUCTION

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6
Q

Potential risk of PULSATILE LAVAGE WITH SUCTION

A

Overuse

If you over debride the wound you will risk the
removal of the viable tissues that the wound needs
to be able to heal

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7
Q

● Wound Irrigation + suction to clean out wound exudate &
debris, & delivers medication
● May aerosolize microorganisms

A

PULSATILE LAVAGE WITH SUCTION

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8
Q

● Pouring a solution over a wound using a bulb syringe or other device

A

Non-forceful irrigation

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9
Q

● Mostly used to treat wounds that are clean, & only need removal of endogenous fluids, or residue by cleaning products

A

NON-FORCEFUL IRRIGATION

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10
Q

● Topical solutions that are marketed for acute & chronic wounds
● Most have some antimicrobial effects but most have significant antimitotic effects

A

COMMERCIAL SKIN & WOUND CLEANSERS

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11
Q

Refers to the
● The removal of foreign matter & dead or damaged tissue
● More of a mechanical means

A

Wound debridement

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12
Q

● Removal of all types of tissue
● Quick, but painful & damages nearby tissue
● E.g. whirlpool

A

NONSELECTIVE DEBRIDEMENT

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13
Q

● Removes necrotic tissue in a controlled manner
● More comfortable & gentle

A

SELECTIVE DEBRIDEMENT

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14
Q

Application of a wet dressing that is allowed to dry on the wound

A

Wet to Dry Dressing

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15
Q

Wet to Dry dressing: Selective or Non selective?

A

Nonselective

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16
Q

● Rapid results for treating life-threatening necrosis, large wounds, tunneling wounds, & necrotic or infected bone

A

SURGICAL DEBRIDEMENT

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17
Q

● Nonselective debridement with cleansing

A

PULSATILE LAVAGE WITH SUCTION

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18
Q

● Through the use of agitation
● Can soften necrotic tissue prior to other forms of debridement

A

WHIRLPOOL

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19
Q

Gold standard of wound debridement

A

SHARP DEBRIDEMENT

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20
Q

Removal of dead, necrotic tissue with the use of a scalpel, scissors, or forceps (sterile)

A

SHARP DEBRIDEMENT

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21
Q

T/F: Sharp debridement is Contraindicated for vascular wounds with limited blood flow where the eschar may be covering a chronic open wound

A

True

Because eschar aids in healing of wounds

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22
Q

T/F: Sharp debridement is not appropriate for tunneling

A

true

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23
Q

Application of a topical agent using enzymes that act by dissolving necrotic tissue

A

CHEMICAL OR ENZYMATIC DEBRIDEMENT

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24
Q

T/F: Chemical or Enzymatic debridement is nonselective, discomfort is minimum, simple application procedure

A

False: Selective, discomfort is minimum, simple application procedure

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25
Q

T/F: in chemical/enzymatic debridement, there is a Potential development of dermatitis, frequent dressing changes disrupts wound bed

A

True

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26
Q

T/F: CHEMICAL OR ENZYMATIC DEBRIDEMENT is antimicrobial

A

False: Not antimicrobial.
Thus, can remove necrotic tissue but does not remove bacteria present in the area

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27
Q

Clean maggots are put in the wound and they are the
ones that are eating out the slough, eschar and other bad
tissues but leaving viable tissue to heal after

A

Maggot debridement therapy (Biosurgery)

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28
Q

Recommended for osteomyelitis & deep wound
infections that remain unresponsive to regular therapy

A

Maggot debridement therapy (Biosurgery)

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29
Q

Topical Agents: Antiseptic vs. Antibacterials

Povidone-Iodine

A

Antiseptic

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30
Q

Topical Agents: Antiseptic vs. Antibacterials

Gentamycin/Geramycin: currently effective against
all species of staphylococcus and streptococcus.

A

Antibacterial

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31
Q

Topical Agents: Antiseptic vs. Antibacterials

Bactroban/Mupirocin: currently effective against all
species of staphylococcus.

A

Antibacterial

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32
Q

Topical Agents: Antiseptic vs. Antibacterials

Sulfamylon/Mafenide acetate: diffuses easily
through eschar, primarily for thermal injuries.

A

Antibacterial

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33
Q

Topical Agents: Antiseptic vs. Antibacterials

Furacin/Nitrofurazone: cytotoxic in animal studies.

A

Antibacterial

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34
Q

Topical Agents: Antiseptic vs. Antibacterials

Silvadene/Silver Sulfadiazine: primarily for thermal
injuries, silver is selectively toxic to bacteria but may
inactivate topical proteolytic enzymes.

A

Antibacterial

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35
Q

Topical Agents: Antiseptic vs. Antibacterials

Bacitracin/Baciguent: associated with allergic
reactions

A

Antibacterial

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36
Q

Topical Agents: Antiseptic vs. Antibacterials

Hydrogen Peroxide

A

Antiseptic

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37
Q

Topical Agents: Antiseptic vs. Antibacterials

Acetic Acid Solution

A

Antiseptic

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38
Q

Topical Agents: Antiseptic vs. Antibacterials

Sodium Hypochlorite Solutions = bleach solution,
contains antimicrobial properties

A

Antiseptic

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39
Q

● Stimulates cellular activity, accelerates inflammation
● Skin repair & wound contraction
● Strengthens scar tissue
● Cover the wound with a sheet of hydrogel

A

ULTRASOUND

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40
Q

● Acute & chronic wounds
● Eliminate bacterial load, promote granulation, decrease
inflammation, reduce wound related pain, augment blood
flow

A

ELECTRICAL STIMULATION

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41
Q

ES: Applied using a soaked gauze or a hydrogel dressing, direct or indirect?

A

Direct

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42
Q

ES: Periwound area, direct or indirect?

A

Indirect

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43
Q

T/F: Thermal & Nontheemal diathermy is Not indicated for patients with arterial insufficiency

A

True

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44
Q

Increase fibroblast proliferation, collagen formation,
tissue perfusion, & metabolic rate

A

THERMAL & NON-THERMAL DIATHERMY

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45
Q

● Cutaneous & bactericidal effects
● Increased blood flow, granulation tissue formation, destruction of bacteria, stimulation of vitamin D production, & stratum corneum

A

ULTRAVIOLET RADIATION

46
Q

● Controlled amount of negative pressure is applied
● It aids in wound contraction by pulling the sides of the
wound in towards the middle

A

NEGATIVE WOUND PRESSURE THERAPY

47
Q

● Enhances granulation tissue formation, promote wound
edge approximation, remove edema, & improve oxygen levels

A

NEGATIVE WOUND PRESSURE THERAPY

48
Q

T/F: In Negative wound pressure therapy, Changed every 12 hrs (infected) to 24 hrs (non-infected)
wounds

A

True

49
Q

● Promoted for augmenting wound healing
● Reversing peripheral neuropathy in people with diabetes ● Decreases pain

A

COLD LASER THERAPY

50
Q

Leaves contaminating fibers, contributes to desiccation, permeable to bacteria, adheres to the wound, releases bacteria to air upon removal (used for wet to dry, if you remove it, other tissues may come with), causes loss of normothermia, painful on removal

A

GAUZE/FIBER

51
Q

T/F: Gauze/Fiber
○ Cannot be used to lightly pack tunneling wounds
○ Can be used as a secondary dressing (not used in
isolation)

A

False
True

52
Q

● Designed to be less adherent
● Cellulose acetate + vaseline
● Minimally absorptive, minimal protection
● Primary dressing over new sutures to prevent them
catching

A

Impregnated Gauze

53
Q

T/F: Impregnated Gauze Does not enhance a moist environment

A

True

54
Q

● Transparent membrane with acrylic adhesive layer
● Facilitate a moist wound environment
● Autolytic debridement

A

TRANSPARENT FILMS

55
Q

● Promotes angiogenesis & wound bed homeostasis
● Protects the skin from shearing, friction, & the effects of
incontinence
● Careful removal
● Usually used when applying IV lines so it won’t get removed

A

TRANSPARENT FILMS

56
Q

Highly absorbent pads of polyurethane, create an occlusive environment

A

Foam

57
Q

T/F: Foam is used alone for a dry wound

A

False: Not used alone for a dry wound because it will absorb whatever moisture the wound will excrete

58
Q

● Amorphous, gel-like
● Thin sheet of polymer containing 90% water

A

Hydrogel

59
Q

T/F: Hydrogel must be contained with a secondary dressing to keep it in place

A

True

60
Q

Used to increase moisture on a dry wound bed, soften necrotic tissue, & support autolytic debridement

A

Hydrogels

61
Q

Considered the most occlusive of the moisture-retentive dressing

A

Hydrocolloid

62
Q

Consist of absorbent colloidal material with a film/foam backing

A

Hydrocolloid

63
Q

T/F: Hydrocolloid is:
● Used as occlusive dressings over infected wounds without increasing bacterial load
● Not used during MDT (Maggot Debridement Therapy)

A

True
False

64
Q

Alginates is derived from

A

marine algae

65
Q

Can Absorb 20-30x their own weight

A

Alginates

66
Q

Chemical reactions form a gel substance to
keep wound environment moist

A

Alginates

67
Q

T/F: Alginates provide barrier against bacteria

A

False

68
Q

T/F: Alginates do not require a secondary dressing

A

False

69
Q

Alginate + ____ = antibacterial properties

A

Silver

70
Q

Commonly used for copious wounds or very
heavy exudation

A

Alginates

71
Q

○ Hydroactive dressings
○ Selective absorptive capacity

A

Hydrofibers

72
Q

Combined positive characteristics of alginate, foam, and gel dressings

A

HYDROFIBERS

73
Q

● Absorb exudate & align themselves perpendicularly to the
wound surface
● Allow growth factors & peptides to survive on the wound
bed for better healing environment of the wound

A

HYDROFIBERS

74
Q

● Bioengineered tissues
● Temporary wound cover

A

SKIN SUBSTITUTES

75
Q

● Used on wounds that have not responded to conventional
therapy such as a chronic diabetic foot ulcer, venous leg ulcers, & deep burns

A

SKIN SUBSTITUTES

76
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

An absorbent secondary dressing for exudating or oozing wounds

A

A

77
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Appearance: A sponge with a transparent film attached to a pump

A

H

78
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Appearance: Woven and fibrous

A

G

79
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Appearance: Thin roll with a single adhesive side

A

F

80
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Appearance: Soft pad

A

D and E

81
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Appearance: Moist gauze. May contain antiseptic, e.g. iodine

A

C

82
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Appearance: Transparent film

A

B

83
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Appearance: Woven tissue

A

A

84
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Expensive Disruptive to patient

A

H

85
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Contraindicated in drier wounds

A

G

86
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Not a sole dressing

A

F

87
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Relatively expensive. Often cause localized erythematous reaction

A

E

88
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Cannot be used on dry wounds

A

D

89
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Non-occlusive. Require fixation dressing

A

C

90
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Fluids will become trapped and macerate. Allogenic

A

B

91
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Desiccating and adherent

A

A

92
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Removes heavy exudate, oedema and infected material. Promotes angiogenesis

A

H

93
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Highly absorbent. Haemostatic

A

G

94
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Can be cut to any shape

A

F

95
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Promote autolytic, conformable

A

E

96
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Promote autolytic debridement

A

D

97
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Non-adherent. May be antiseptic

A

C

98
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Allows monitoring of skin. Conformable. Cheap

A

B

99
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Highly absorbent, Cheap

A

A

100
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Uses: Large, deep, contaminated wounds. Highly exudative wounds

A

H

101
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Uses: Exudating or mildly bleeding wounds

A

G

102
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Uses: Holding a non-adhesive dressing in place

A

F

103
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Uses: Ulcers or other chronic wounds

A

E

104
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Uses: Ulcers, leg ulcers, stoma sites

A

D

105
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Use: To maintain a moist environment in dry wounds

A

C

106
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

Uses: For small, minimally exudative wounds as a primary dressing. As secondary dressing for other wounds

A

B

107
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

Absorbency (High)

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

A

A. Gauze
G. Calcium alginate
H. Negative pressure dressing

108
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

Absorbency (Minimal)

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

A

B. Semipermeable polyurethane film

109
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

Absorbency (Moderate)

A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

A

D. Hydrocolloid
E. Foam

110
Q

SUMMARY OF WOUND DRESSINGS’ PROPERTIES BY CATEGORY

Absorbency (Nil)
A. Gauze
B. Semipermeable polyurethane film
C. Moist Gauze
D. Hydrocolloid
E. Foam
F. Fixation
G. Calcium alginate
H. Negative pressure dressing

A

C. Moist Gauze
F. Fixation

(3) PT in Special Conditions (41 decks)

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