Wound Care

Question 1

Contamination

Answer 1

Microorganism on wound surface

Question 2

Colonization

Answer 2

Bacterial growing in wound with no signs of infection

Question 3

Critical colionizatoin

Answer 3

Bacerial growth causes delay in healing but no invasion of tissue

Question 4

Infection

Answer 4

Bacteria invacdes soft tissue and causes systemic response

Question 5

Surgical debridement

Answer 5

Removing necrotic tissue to help wound heal

Question 6

Mechanical debridement

Answer 6

Nonselective removal of tissue adn debris.

Question 7

Enzymatic debridement

Answer 7

Selective removal of necrotic tissue using collagenase

Question 8

Biologic debridement

Answer 8

Using maggots to digest dead tissue

Question 9

Examples of antiseptic/antimicrobials

Answer 9

Iodine
Silver
honey

Question 10

Primary wound closure

Answer 10

After surgery.
Edges of wound connected by suture

Question 11

Delayed primary wound closure

Answer 11

Wait 48 hrs to close as long as not infected

Question 12

Secondary intention wound closure

Answer 12

Wound can’t be approximated so wound is left open to heal.
Needs dressing changes for up to six weeks

Question 13

Split coverage graft

Answer 13

Portion of skin that contains both epidermis ann varying portion of dermis.

Question 14

Full coverage graft

Answer 14

Composed of epidermis and all dermis and some subcutaneous tissue

Question 15

Tissue flaps

Answer 15

Tissue transferred from donor to recepienc while maintaining its own blood supply

Question 16

Dry gangrene

Answer 16

Blood supply of tissue is cut off (ischemia).
Tissue is becoming necrotic

Question 17

Wet gangrene

Answer 17

Bacteria is in the tisssue
Area swells and drains fluid
Smells bad.
Spreads faster than dry gangrene

Question 18

Arterial ulcers

Answer 18

Toes, heels, bony prominences
Punched out look
Well demarcated edges
Can lead to gangrene
Pain

Question 19

Venous ulcer

Answer 19

Hx of veinous probs
Medial gaiter region of leg
SLoping edges
Edema

Question 20

Venous ulcer treatment

Answer 20

Compression

Question 21

Arterial ulcer treatment

Answer 21

Surgery for arterial insufficiency

Question 22

Most common place for diabetic wounds

Answer 22

Plantar foot and toes

Question 23

What to do for heel wound

Answer 23

Don’t remove eschar over wound because it help with healing

Question 24

What to do with deep tissue injury

Answer 24

Offload pressure to the affected area

Question 25

What to do for Pressure Wounds that are large or nonhealing

Answer 25

General surgeon or dermatologist for biopsy and possibly skin grafting

Question 26

Lymphedema

Answer 26

Tissue swellling from accumulation of lymph
Usually on arms or legs
INfection is common

Question 27

Lipedema

Answer 27

Excess fat accumulates in lower part of body.
Does not efffect hands or feet.
Infection is rare

Question 28

Wound Vac

Answer 28

Moist environment.
Removes healing inhibitors.
Increases blood flow to wound.
Stimulates angiogenesis
Stresses wound to promote proliferation

Question 29

Wound Vac Contraindications

Answer 29

Wound eschemia
Infection/necrotic tissue
Malignant tissue
Fragile skin