Wound Characteristics Flashcards
1
Q
Arterial (6)
A
Red halo Thin, dry skin Absence of hair Skin shiny & cool Punched out borders Thickened nails
2
Q
Venous (5)
A
Wet (mod to heavy exudate) Shallow Irregular edges Dry, scaly surrounding skin Hemosiduran staining
3
Q
Diabetic Neuropathic(2)
A
Cracking
Callous formation
4
Q
Stage 1 Pressure Ulcer (3)
A
Intact skin
Non-blanchable
Dark pigmentation
5
Q
Stage 2 Pressure Ulcer (4)
A
Partial loss of dermis
Shallow and open OR
Intact and serum filled (blister)
Red/pink wound bed w/slough
6
Q
Stage 3 Pressure Ulcer (4)
A
SubQ fat visible
No tendon/bone exposed
Slough may be present
Maybe undermining and tunneling
7
Q
Stage 4 Pressure Ulcer (3)
A
Bone/tendon/muscle exposed
Slough or eschar
Often undermining and tunneling
8
Q
Unstageable (2)
A
Base covered in slough
Eschar in wound bed
9
Q
Deep Tissue Injury
A
Purple/Maroon
Intact or Blood Blister
