Wound

Question 1

Braden scale 6 assess what?

Answer 1

assessment for Risk for ulcer

• sensory perception
• moisture
• activity
• mobility
• nutrition
• friction and shearing risk

Question 2

irrigating wounds

Answer 2

remove debris
levage with mild force 15psi
use 35ml syringe with 19 gauge needle.

Question 3

what is debrideing and how do we do it? 5 ways

Answer 3

removing objects or damaged tissue or dead tissue
to promote healing
sharp-scalpal
mechanical-wet to dry dressing
enzymatic
Autolysis
maggot therapy

Question 4

slough causes….

Answer 4

increased chance of infection

Question 5

wound vac benefits 3

Answer 5

reduces edema
angiogenesis -stretching vessels.
decreases bacteria

Question 6

excoriation

Answer 6

loss of epidermis many times by friction or moisture

Question 7

maceration

Answer 7

white tissue from moisture

it will breakdown

Question 8

undermining, and make sure to???

Answer 8

breakdown of skin under skin

make sure to pack under it

Question 9

types of dressing

Answer 9

alginate, antimicrobial, collagen, gauze, foam, hydrocolloid, hydrogels, transparent.

Question 10

Alginate

Answer 10

fibers derives from brown seaweed. Par or rope
highly absorbent, used for lots of drainage
for tunneling or undermining.
don’t use on dry wounds

Question 11

Hydrocolloids

Answer 11

wafers, pastes, powders.
particles mix with exudate and turn to gel.
protects from friction and bacteria
keeps moist, decreases pain and increases autolytic debridement.

Question 12

Hydrogels

Answer 12

sheets, granules, gels with high water
enhances epithelialization
softens slough or eschar
non-adhesive

Question 13

Transparent

Answer 13

primary dressing. moisture retentive, excellent for skin tears- great for elderly.