Surgical Wounds Flashcards
days 1-4 positive signs
edges approximated
normal inflammation
min to mod drainage
use dry or non-adherent gauze
days 1-4 negative signs
no signs of inflammation
tension on incision
days 5-9 positive signs
no inflammation/drainage
new skin
healing ridge
days 5-9 negative signs
no healing ridge drainage no new skin s/s infection dehiscence
days 10-14 positive signs
pink site
sutures removed
days 10-14 negative signs
inflammation
drainage
dehiscence
no healing ridge
days 15-2 years positive signs
pale pink scar (80% full strength)
days 15- 2 years negative signs
hypertrophic scar
When would moist dressing be appropriate? (usually not)
when viable tissue exposed. put dry gauze over other parts
Why not close via primary intention?
infection
edema
deep cavity
Most common nosocomial infection?
surgical site infection
When should you contact MD?
early increased drainage (blood)
purulent drainage
drainage after 5-6 days
no healing ridge by day 9
