Week 1 Test Flashcards by Tiffeni Key

VAC Contraindication regarding fistulas…

Non enteric and unexplored Fistula

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What is unplanned opening from bowel?

Enterocutaneous Fisula

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Fistula Mortality

6-20%

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Acute definition

Less than 30 days old

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Chronic fistula definition

Greater than 30 days old

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Difference btwn flap vs graft?

Flap takes original blood supply w/ it

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Flap and Grafts are similar because…

Both are Auto transplantation of tissue

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Flap and Grafts are different because…

Flap takes original blood supply and graft is stripped of blood supply

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Pressure range and features unique on Acti Vac & Info VAC

25- 200 range
Seal check
Setting guide
Therapy history report

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Sensatrac features and benefits

Smart alarm

Accurate pressure at wound site

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TRAC definition

Therapeutic
Regulated
Accurate
Care

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Components of Vac Simplace dressing

2 spiral dressings
3m tagaderm dressings
Sensatrac pad

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What is a Z-fold

Fold for a bridge dressing

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What is wicking? What does it do

Back white layer of Zfold bridge dressing. Protects skin from maceration

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4 categories of bio burden

Contamination
Colonization
Critical colonization
Infection

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Contamination is…

Non- replication microbes
Body flora
Healing not inhibited

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Colonization is…

Replicating Microbes
No host replication
Body can defend

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Critical Colonization …

Overgrowing microbes
Bacterial enzymes & toxins
Delayed healing

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Infection is…

Invasion
Systemic reaction
Healing impaired

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Antimicrobial definition

Substance acts against microbes

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Antibacterial definition

Substance acts against bacteria

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Bacteriostatic

Inhibit bacterial growth

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Bactericidal

Kills bacteria

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Is silver granufoam bacteriostatic or bactericidal

Bactericidal

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What pathogens was silver effective against

All... Bacterial, fungus and viruses

With silver foam how long does it take pathogens to be eliminated?

30 mins

Silver ions released for up to and effective for

72 hrs and entire duration if changed every 72 hrs

Is granulation rate of Silver foam same as black foam. T/ F

True

Which tab in Market touch covers economical materials

Kci value or total cost of care

In market touch app which tab covers clinical materials

Compendium

What feature is only on Info Vac

Patient history report | Digital wound image assessment

Market touch- transition support services

Kci Value and sales service models

Market touch- head to head

Competitive intelligence

Autograft is ?

Self

Bioengineered definition

Biological technique focuses on creation of tissue and tissue scaffold. Matrix for tissue growth

Allograft is

Another human

Xenografts is

From another species

Flap definitions...

Keeps original blood supply. Used when substantial tissue deficit

Graft definitions...

Not original blood supply. Surgical procedure skin transplanted one area to another

Goals of flap and graft

Provide bolster and stability Help protect wound environment Remove fluid and exudate Minimize shearing

Flap

72 hrs

To Vac a graft the pressure must be...

75-125 pressure

Market touch is used for...

Customer facing presentations

Types of fistula VAC contraindicated for

Non enteric and unexplored

Chronic complex fistula is

More than 30 days old makes it chronic. Evidence if epithelial cells on mouth of wound

Goal of MPWT when treating a chronic complex fistula

Segregate fistula/effluent from wound. Allow for healing and stabilization of pt

When comparing Acti vac, Only info VAc has...

Patient history report | Digital wound image assessment

Sensatrac benefits are

Enhanced pt comfort Reduced tubing blocking and alarm Improved TRAC pad Compatible w/ current systems

EX Simplace is gives choice of what 2 drapes

Original VAC drape and tagaderm drape

How many Z-folds can be done on a patient

One

Silver foam pore size is

400-600 same as granufoam

Split aka Partial thickness goes through what layer(s) of skin

Goes through epidermis and part of dermis

Full thickness graft goes through heat part of skin layer(s)

Completely through epidermis and dermis

Recommended removals for flaps

4 to 5 days. Pressure setting ranges from 125 to 150

Complex fistula is located

Inside the wound

Simple fistula is

Short direct tract No associated abscess No other organ involvement Tiny hole located in skin

Acute fistula is

Un epithelialized around the mouth

Silver granufoam MOA

``` Impairs bacterial cell wall integrity Binds/ disrupts subcell components Inhibits cellular respiration Impairs essential enzymes and metabolic events Inactivated bacterial DNA RNA ```

Eschar is

Dehydrated thick leathery skin (black/grey)

Slough is

Hydrated loose stringy necrotic tissue (yellow)

Hemostasis and description

Hemostasis- platelet aggregation, vasocontriction, chemostatic factors. Starts in 60 mins

Inflammation

Release prostaglandin, vaso active substances. 20 minutes to four days

Proliferation description

Begins between three and 21 days | Granulation contraction and re -epithelialization begins

Remodeling and description

Usually begins between 21 days and two years | 2 to 3 weeks, 30 to 50% tensile strength

Signs of infection

Induration-hardening of skin Fever elevated temperature> 100.5 Edema-swelling due to fluid Erythema-redness of skin

Silver kills what pathogens?

MRSA, VER E, Pseudomonas, E. coli, yeast, molds mushrooms, viruses

Silver contraindications

``` Malignancy in the wound Untreated osteomyelitis Non-enteric and unexplored fistulas Necrotic tissue with eschar present Sensitivity to silver ```