wound healing

Question 1

three types of wound healing

Answer 1

primary, secondary, tertiary

Question 2

type of wound healing

• edges of the wound are approximated
• wound is uncomplicated and clean
• little tissue loss

Answer 2

primary

Question 3

type of wound healing

-edges are not approximated for first 3 to 5 days then are drawn together

Answer 3

tertiary

Question 4

type of wound healing

• edges of the wound are not approximated
• high risk for scarring, infection
• wound is large, gaping, irregular

Answer 4

secondary

Question 5

what are the phases of wound healing?

Answer 5

inflammation (3-5 days)
proliferation (3-21 days)
maturation/remodelling (21 days to 2 yrs)

Question 6

tissue that is being formed, translucent red colour, fragile and bleeds easily

Answer 6

granulation tissue

Question 7

• hypertrophic scar

- abnormal amount of collagen

Answer 7

keloid

Question 8

material, such as fluid and cells, that has escaped from blood vessels during the inflammatory process
-deposited in tissue or on tissue surfaces

Answer 8

exudate

Question 9

what are the three major types of exudate?

Answer 9

serous
purulent
sanguinous

Question 10

exudate that contains mainly of serum (clear portion of blood)

Answer 10

serous exudate

Question 11

• thick exudate

- presence of pus

Answer 11

purulent exudate

Question 12

consists of leukocytes, liquified dead tissue debris and dead and living bacteria

Answer 12

pus

Question 13

process of pus formation

Answer 13

suppuration

Question 14

• exudate consists of large amounts of red blood cells

- indicates damage to capillaries that is severe enough to allow the escape of RBC from plasma

Answer 14

sanguinous exudate

Question 15

exudate consisting of clear and blood tinged drainage

Answer 15

serosanguinous exudate

Question 16

what are some complications of wound healing?

Answer 16

hemorrhage, infection, dehiscence (with possible evisceration)

Question 17

necrotic tissue

Answer 17

eschar

Question 18

stage of pressure ulcer:

-nonblanchable erythema

Answer 18

stage 1

Question 19

stage of pressure ulcer:

-partial thickness skin loss (abrasion, blister, shallow crater) involving the epidermis and possibly the dermis

Answer 19

stage 2

Question 20

stage of pressure ulcer:
-full thickness skin loss involving damage to the or necrosis of subcutaneous tissue that may extend down but not through the underlying fascia

Answer 20

stage 3

Question 21

stage of pressure ulcer:

-full thickness skin loss with tissue necrosis or damage to muscle, bone, or supporting structures

Answer 21

stage 4

Question 22

why are tertiary wounds left open for 3-5 days?

Answer 22

allows edema and infection to resolve, allows wound to drain

Question 23

what are the two major processes that occur during inflammation?

Answer 23

hemostasis & phagocytosis

Question 24

• cell-mediated or delayed hypersensitivity to a wide variety of allergens
• first exposure is sensitizing (no manifestations occur until subsequent exposures)

Answer 24

allergic contact dermititis

Question 25

• an inflammation of the skin that occurs in response to the direct contact of an allergen or irritant
• not a hypersensitivity response

Answer 25

contact dermititis

Question 26

what are the two types of contact dermititis?

Answer 26

allergic contact dermititis and irritant contact dermititis

Question 27

how is allergic dermititis characterized?

Answer 27

• erythema, edema, pruritus, vesicles, bullae that rupture, ooze and crust
• rash is usually limited to the area of contact
• develop several hours to 3 days after contact
• takes 2-4 weeks to resolve