Week 1 Test Flashcards

0
Q

VAC Contraindication regarding fistulas…

A

Non enteric and unexplored Fistula

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1
Q

What is unplanned opening from bowel?

A

Enterocutaneous Fisula

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2
Q

Fistula Mortality

A

6-20%

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3
Q

Acute definition

A

Less than 30 days old

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4
Q

Chronic fistula definition

A

Greater than 30 days old

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5
Q

Difference btwn flap vs graft?

A

Flap takes original blood supply w/ it

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6
Q

Flap and Grafts are similar because…

A

Both are Auto transplantation of tissue

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7
Q

Flap and Grafts are different because…

A

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

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8
Q

Pressure range and features unique on Acti Vac & Info VAC

A

25- 200 range
Seal check
Setting guide
Therapy history report

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9
Q

Sensatrac features and benefits

A

Smart alarm

Accurate pressure at wound site

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10
Q

TRAC definition

A

Therapeutic
Regulated
Accurate
Care

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11
Q

Components of Vac Simplace dressing

A

2 spiral dressings
3m tagaderm dressings
Sensatrac pad

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12
Q

What is a Z-fold

A

Fold for a bridge dressing

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13
Q

What is wicking? What does it do

A

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

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14
Q

4 categories of bio burden

A

Contamination
Colonization
Critical colonization
Infection

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15
Q

Contamination is…

A

Non- replication microbes
Body flora
Healing not inhibited

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16
Q

Colonization is…

A

Replicating Microbes
No host replication
Body can defend

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17
Q

Critical Colonization …

A

Overgrowing microbes
Bacterial enzymes & toxins
Delayed healing

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18
Q

Infection is…

A

Invasion
Systemic reaction
Healing impaired

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19
Q

Antimicrobial definition

A

Substance acts against microbes

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20
Q

Antibacterial definition

A

Substance acts against bacteria

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21
Q

Bacteriostatic

A

Inhibit bacterial growth

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22
Q

Bactericidal

A

Kills bacteria

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23
Q

Is silver granufoam bacteriostatic or bactericidal

A

Bactericidal

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24
Q

What pathogens was silver effective against

A

All… Bacterial, fungus and viruses

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25
Q

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

A

30 mins

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26
Q

Silver ions released for up to and effective for

A

72 hrs and entire duration if changed every 72 hrs

27
Q

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

A

True

28
Q

Which tab in Market touch covers economical materials

A

Kci value or total cost of care

29
Q

In market touch app which tab covers clinical materials

A

Compendium

30
Q

What feature is only on Info Vac

A

Patient history report

Digital wound image assessment

31
Q

Market touch- transition support services

A

Kci Value and sales service models

32
Q

Market touch- head to head

A

Competitive intelligence

33
Q

Autograft is ?

A

Self

34
Q

Bioengineered definition

A

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

35
Q

Allograft is

A

Another human

36
Q

Xenografts is

A

From another species

37
Q

Flap definitions…

A

Keeps original blood supply. Used when substantial tissue deficit

38
Q

Graft definitions…

A

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

39
Q

Goals of flap and graft

A

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

40
Q

Flap

A

72 hrs

41
Q

To Vac a graft the pressure must be…

A

75-125 pressure

42
Q

Market touch is used for…

A

Customer facing presentations

43
Q

Types of fistula VAC contraindicated for

A

Non enteric and unexplored

44
Q

Chronic complex fistula is

A

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

45
Q

Goal of MPWT when treating a chronic complex fistula

A

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

46
Q

When comparing Acti vac, Only info VAc has…

A

Patient history report

Digital wound image assessment

47
Q

Sensatrac benefits are

A

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

48
Q

EX Simplace is gives choice of what 2 drapes

A

Original VAC drape and tagaderm drape

49
Q

How many Z-folds can be done on a patient

A

One

50
Q

Silver foam pore size is

A

400-600 same as granufoam

51
Q

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

A

Goes through epidermis and part of dermis

52
Q

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

A

Completely through epidermis and dermis

53
Q

Recommended removals for flaps

A

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

54
Q

Complex fistula is located

A

Inside the wound

55
Q

Simple fistula is

A

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

56
Q

Acute fistula is

A

Un epithelialized around the mouth

57
Q

Silver granufoam MOA

A
Impairs bacterial cell wall integrity
Binds/ disrupts subcell components
Inhibits cellular respiration
Impairs essential enzymes and metabolic events
Inactivated bacterial DNA RNA
58
Q

Eschar is

A

Dehydrated thick leathery skin (black/grey)

59
Q

Slough is

A

Hydrated loose stringy necrotic tissue (yellow)

60
Q

Hemostasis and description

A

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

61
Q

Inflammation

A

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

62
Q

Proliferation description

A

Begins between three and 21 days

Granulation contraction and re -epithelialization begins

63
Q

Remodeling and description

A

Usually begins between 21 days and two years

2 to 3 weeks, 30 to 50% tensile strength

64
Q

Signs of infection

A

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

65
Q

Silver kills what pathogens?

A

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

66
Q

Silver contraindications

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