SKIN INTEG & WOUND CARE Flashcards
What is Skin?
Largest Organ of the Body 1/6 of TBW, Synthesize Vita D, Protects, Sensory Organ
Skin is Affected By?
Genetics, Age, Meds, Chronic Illness, Nutrition
2 Principal Layers of the Skin?
Epidermis and Dermis
Types of Wounds
Open, Close, Ulcer
Open Wounds
Abrasion, Laceration, Puncture, Avulsions
Abrasion is?
Skin rubbed on a rough surface with little to no bleeding
Laceration is?
Jagged cut caused by sharp objects with extensive bleeding that needs stitches and heavy cleaning
Puncture is?
Hole wound caused by objects such as gunshot and usually need tetanus or antibiotic shot
Avulsion is?
Partial or complete tear of the skin caused by explosions or accidents
Closed Wounds
Contusion, Blisters, Seroma, Hematoma, Crush Injury
Contusion is?
Medical term for bruise with black to blue color caused of BV breakdown
Blister is?
Bubble pops with fluid build up of clear water (serum)
Seroma is?
Clear fluid build up near an incision surgical site
Hematoma is?
Pool of clotted blood caused by BV breakdowns because of injury or trauma
Crush injury is?
Prolonged compression of torso or limbs
Ulcer wounds
Pressure, Venous, Arterial, Neuropathic
Pressure ulcer is also known as?
Decubitus Ulcer, Pressure Sore, Bed Sore
What is Ischemia?
Decreased blood supply to tissues
What is Reactive Hyperemia?
Red Flush in localized site of wound
What is Vasodilation?
Extra blood delivery to the impeded site of blood flow
How does ulcer affect cellular metabolism?
Impedes blood flow causing ischemia
Factors of pressure ulcer
Friction /Shearing, Poor Nutri, Incontinence (Maceration, Excoriation), Moisture, Activity, Immobility, Decreased LOC, Excessive Body Heat, Poor Lifting technique, incorrect pos
What is LOC?
Level of Consciousness