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TOSCE > Wound Care > Flashcards

Wound Care Flashcards

1
Q

factors that affect wound healing

A 
diabetes
infection 
drugs- steroids, asa, anticoagulants 
nutritional problems 
tissue necrosis 
hypoxia 
excessive tension on wound edges 
another wound 
low temperature
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2
Q

referrals

A 
medical conditions that affect healing - diabetes immunocompromised
bleeding longer than 10min 
animal or human bite 
2nd or 3rd degree burn 
wound >2cm 
wound is deep 
unable to move injured part 
dirt and debris cant be removed without scrubbing 
infected
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3
Q

what are the 3 basic wound care processes

A

cleanse the wound
stop the bleeding
protect the wound

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4
Q

what should you use to clean the wound

A

drinkable luke warm water or normal saline others may impair healing

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5
Q

signs of skin infection

A 
redness
pain 
warm to touch 
swelling
drainage/pus 
fever
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6
Q

when should you use topical antibiotics

A

superficial mildly infected wound

wounds at high risk for infection

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7
Q

how often should the topical antibiotics be applied and side effects

A

1-3 times daily

sensitivity, itching, burning

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8
Q

which topical antibiotic damages sensory epithelium of nose

A

gramicidin

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9
Q

what otc topical antibiotics are there

A

bacitracin
gramicidin
polymyxin B

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10
Q

what prescription topical antibiotics are there

A

neomycin
fusidic acid
mupirocin

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11
Q

what products are available with anesthetics and when should they be used

A

polysporin has lidocaine (irritant)

has some products that can cross react so only use if in pain

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12
Q

how should wounds be monitored

A

bleeding should stop in 10 minutes (15 if on anticoagulants)
monitor for infection daily for 48 hours
monitor would healing for 2 weeks or more, if not closed within 2-4 weeks further assessment should be done

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13
Q

what is the purpose of dressings

A

protect wounds from further damage
helps stop bleeding
helps prevent infection

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14
Q

what are primary dressings

A

placed directly on wound, absorbs fluids, prevents infection and adhesion of the secondary dressing

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15
Q

what are secondary dressings

A

placed over primary for protection, absorption, compression, occlusion

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16
Q

what is the purpose of guaze dressings and how do you apply them

A

absorbent and protectant

place directly on wound, moisten with saline, wring out excess fluid, and apply secondary dressing

17
Q

when would you use a transparent film such as tegaderm

A

superficial clean wounds where it is required to frequently view the wound, not moist wounds!

18
Q

purpose and application of transparent films

A

provide moist environment, protective, water proof

gently lay over wound and overlap by 2.5cm and apply tape

19
Q

what can hydrogels be used for and what shouldnt they be used for

A

dry wounds, painful wounds, burns, pressure ulcers

not for gangrenous or weeping wounds

20
Q

purpose and application of hydrogels

A

high moisture content, some absorption

apply moderate amount to wound and cover with gauze

21
Q

when should you use and avoid use of hydrocolloid dressings

A

use for burns or small abrasions
avoid in dry infected wounds
weeping wounds

22
Q

purpose and application of hydrocolloid dressings

A

retains moisture

apply adherent side to skin and hold in place

23
Q

when would you use or not use alginates

A

used for packing cavities and wounds, wound drainagem pressure ulcers
do not use in dry wounds

24
Q

purpose and application of alginates

A

create moist environment
highly absorbent- dries
can reduce pain
apply dressing to area, cover with secondary dressing and tape in place

25
Q

what should and shouldnt foam dressings be used for

A

wounds with mild to moderate exudate, partial to full thickness wounds
avoid in dry wounds or wounds that need to be frequently checked

26
Q

purpose and application of foam dressings

A

retain moisutre, absorbent, protective

gnetly lay dressing over wound, cover with guaze and tape in place

27
Q

what are uses of liquid adhesives

A

paper cuts
skin cracks
minor cuts

28
Q

application of liquid adhesives

A

wash cut
apply pressure to stop bleeding then apply
lasts 5-10 days

29
Q

describe the cloth tape

A

breathable not water resistant
can adhere to dry or damp skin
use if area is moist

30
Q

what is silicone tape used for

A

used for sensitive or at risk skin

dressings are to be replaced often

31
Q

paper tape used for the same things as silicone tape but whats different about it

A

does not adhere as well

32
Q

what are adhesive skin closures

A

used to hold wounds closed after suture removal

steri strips and butterfly closures

TOSCE (4 decks)

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