Wound Care Flashcards
Signs of Impaired Healing 1-4 days
Persistent drainage >24 hrs after wound has been closed, no inflammation
Why is inflammation important in wound healing?
Because inflammation is the begging of the body’s healing process
Signs of normal healing 1-4 days
inflammation,redness,in-duration (hardening), warmth, tenderness & pain
Sign of normal healing 7-10 days
there will be a healing ridge
Signs of Impaired Healing 7-9 days
lack of a healing ridge
Chemo, radiation therapy, immunosuppressants, anticoagulants, smoking & steroid all impede what?
the healing process
Wound that goes to Pink –> bright red indicates what?
that blood vessels are reforming well within tissue
What do you look at when assessing a wound?
Location, size, shape, sinus tracts, tunneling, necrotic tissue, exudate, inflammation, pain
Do you base treatment on culture swab alone?
No. Treatment is based on culture & assessment
Deep tissue injury
purple localized color on intact skin,
Stage I ulcer is what?
intact skin with non blanchable redness of a localized area, usually over a bone
Stage I ulcer will feel..
warm or cool, firm or soft & may be painful
Stage II ulcer
Partial thickness skin loss involving the epidermis, dermis or both
Stage III ulcer
Full thickness loss extending into subcutaneous tissue; does not go thru fascia. Bone, tendon or muscle are not exposed
What does a stage II ulcer look like?
intact or not intact blister, shiny or dry
Stage IV ulcer?
full thickness tissue loss, exposed bone, tendon or muscle
Un-stagable ulcer
full thickness tissue loss in which the base of ulcer is covered slough (yellow, tan, gray, green
Where do arterial ulcers occur?
on the feet, between toes
Venous ulcer (stasis ulcers) occur where
pretibial region of lower leg (ankle)
Cause of venous ulcer
venous hypertension
Pro of running stitch
its good because its faster
continuous locking stich is only ______
approximated
Mattress suture stitch
strong-double stitch
When a bacteria is sensitive to an antibiotic what does that mean
antibiotic can kill bacteria
Wound is packed with a damp gauze dressing primarily to
facilitate the healing process
