wound care week 2

Question 1

stage 1 pressure ulcer

Answer 1

always red even when pushed

Question 2

stage 2 pressure ulcer

Answer 2

can be like a blister

partial thickness loss

Question 3

stage 3

Answer 3

full thickness loss

Question 4

stage 4

Answer 4

will have to pack the wound
may need to be irrigated
often given drugs to clean the wound painlessly

Question 5

unstageable pressure ulcer

Answer 5

unstageable cause u cant see how far down they go

Question 6

serous fluid

Answer 6

clear

Question 7

sanguinous fluid

Answer 7

red

Question 8

complications with wound healing

Answer 8

hematoma
infection
dehiscence (tissue seperates)
evisceration (organs come out of abdomen)

Question 9

Debridement

Answer 9

removing dead tissue

sharp, mechanical, autolytic/enzymatic, maggot

Question 10

kinds of dressings

Answer 10

transparent (for prevention)
zinc gauze
hydrocholoid

Question 11

wound irrigation

Answer 11

cleaning deep wounds
4-8psi used
30-60 mL syringe or angeocast

Question 12

wound vac

Answer 12

suction for wounds as last resort to drain wounds and also can promote blood supply

can never use with infected wounds

Question 13

difference between clean and sterile gloves

Answer 13

clean used as a form of PPE

sterile used for handling supplies in a sterile field

Question 14

wound dranage devices

Answer 14

penrose drain (open/gravity)
hemovac drain(closed/low suction)
jackson-pratt drain (low suction/closed)

Question 15

tool used for checking pressure ulcer

Answer 15

brader scale