Wound Care Flashcards
Arterial wound location:
Toes, feet, lower 1/3 leg
Venous wound location:
Medial malleolus
Neuropathic ulcer location:
Plantar foot
Arterial wound details:
Arterial pulse decreases
Trophic changes
Most painful
Venous wound details:
Edema increases
Stage 1:
Non-blanchable erythema
Epidermis and dermis intact
Stage 2:
Complete loss of epidermis, partial loss of dermis
Stage 3:
Complete loss of dermis & epidermis, extends to but not through the fascia
Stage 4:
Complete loss of dermis, epidermis, and destruction of fascia
Arterial wound pain:
Intermittent claudication; pain with activity & elevation
Arterial wound presentation:
Trophic changes: thin, shiny skin with absence of hair, cold
Venous wound pain:
Dull, aching
Venous wound presentation:
Superficial, irregular in shape, macerated edges with drainage, hemosiderin stain
Neuropathic ulcer pain:
None
Neuropathic ulcer presentation:
Deep and infected, callus, tunneling & undermining
Ideal wound dressing:
1 Moist for collagen production
2 Allows gas exchange
3 Impermeable to microorganisms
4 non-adherent
Primary polycythemia (p. vera)
Excessive production of ALL cells secondary to improper signal to the bone marrow which over produces
Secondary polycythemia
Decreased oxygen causes an increase in RBCs
Relative polycythemia
Appears that there are more RBCs in the hematocrit, but actually plasma is low
Hemoglobin level for anemia
< 12% g/dL for females
< 14% g/dL for males
Hematocrit level for anemia
< 37% for females
< 41% for males
Hemolytic anemia
Red blood cells are destroyed and removed from the bloodstream before their normal lifespan is over
Post hemorrhagic anemia
Acute blood loss results in decreased RBCs
Aplastic anemia
The bone marrow does not make enough new blood cells
