Week 3 Respiratory Care 2 & Complex Wound Care

Question 1

Bronchiectasis?

Answer 1

Chronic abnormal dilation of bronchi & destruction of bronchial walls

Question 2

Progression to COPD? (5 stages)

Answer 2

• Long term exposure to gases/irritants
• Chronic inflammatory response (injury & repair)
• Alveolar destruction, bronchiolar fibrosis, scar tissue formation
• Airway entrapment leads to hyper – inflation of alveoli
• Alveolar destruction leads to hypoxemia, Hypercapnia, Pulmonary vasculature changes.

Question 3

Asthma?

What does it cause?

Answer 3

A chronic inflammatory disease of the airways

causes hyper-responsiveness, mucosal oedema and mucous production

Question 4

Factors that inhibit wound healing?

Answer 4

• Infection
• Poor circulation
• Poor mobility
• Unhealthy diet
• Diabetes
• Inadequate hydration
• Age
• Trauma
• Ineffective wound management

Question 5

3 types of wound dressings?

Answer 5

1. Passive –> cover, protect, moist environment
2. Interactive –> absorbs exudate, moist environment, keep surrounding skin dry (activates cellular proliferation)
3. Active –> improve healing process, skin grafts.

Question 6

5 rules of wound care?

Answer 6

1. Categorization
2. Selection
3. Change
4. Evolution
5. Practice

Question 7

Wound bed preparation (TIME)

Answer 7

T - tissue, viable/non-viable?
I - Inflammation and/or infection
M - Moisture balance maintenance
E - Edges of wounds, epithelial

Question 8

Debridement?

Answer 8

Removal of contaminated/dead/foreign tissue. E.g. surgical, water pressure jet