Wound Care Flashcards
delayed primary intension wound healing is from blank tissue loss and when the wound is blank
large, contaminated
method of choice when tissue damage extends through full thickness of the skin
secondary intension wound healing by contraction
these draw wounds together
myofibroblasts
remodeling can take up to blank
2 years
healing rate takes longer than expected for a wound
chronic wound
there is no blank if there is no inflammation
healing
too much inflammation so no tissue grows and there is an increase in macrophage and fibroblast proliferation
chronic inflammation
wound rupturing along surgical suture line
dehiscence
wounds heal best when blank and blank
warm,wet
hydrotherapy can help for blank of the wound
debridement/circulation
blank with suction is good for infections/loose debris
pulsatile lavage
chronic diabetic foot ulcers, pressure ulcers with absense of inflammatory phase can be helped by
ultrasound
used for slow or non healing wounds, necrotic wounds, or purulent infected wounds
uv light
stage 3 and 4 pressure ulcers can be helped with blank
negative pressure therapy
negative pressure therapy that draws wounds together, provides direct and complete wound bed contact and evenly distributes negative pressure
vacuum assisted closure (macrostrain)
the microdeformation at the cellular level which leads to cell stretch and reduces edema, promotes vascular perfusion
vacuum assisted closure
pure oxygen delivered at greater than atmospheric pressure
hyperbaric oxygen
very important gas for wound healing
oxygen
hypoxia increases blank
angiogenesis
hyperoxia increases rate of blank and blank
collagen synthesis, epithelialization
systemic is for crush injuries, radionecrosis, osteomyelitis, skin flap is 100% oxygen at blank atmospheres
1.5-3
topical or direct contact with wound delivers 100% oxygen at blank atmospheres
1.03-1.06
contraindications for electric stimulations
carcinoma, osteomyelitis
other modality that can also be effective for wound healing due to nonthermal effects
short wave diathermy
Primary intension wound healing requires blank
suturing