Wound management Flashcards
Phase 1
Inflammatory phase, 3-6 days, Prolonged in cats
Phase 2
Proliferative (repair) phase, 4days-3 weeks
Phase 3
Remodeling (Maturation) Phase, 3 weeks-7?
Dogs - granulation tissue
Appears on the entire surface at the same time
Cats - Granulation tissue
First appears at edges, takes longer to form in cats
Conditions that delay wound healing
Temperature, malnutrition, infection, Oxygen deprivation, diabetic patients, liver disease
Decubitus ulcer
Pressure ulcer caused by prolonged compression and friction
Promoted wound healing by:
3 D’s
Decontamination
Debridement
Drainage
Promote vascularity
Wound healing depends on:
selection of…
Selection of wound closure
Selection of dressing
Management of dressing
Types of debridement
Biological (maggots eating necrotic tissue), Enzymatic (Topical agent), Autolytic (bodies own enzymes and moisture), Mechanical (irrigation, hydrotherapy but can be painful and damage healthy tissue), Surgical (scalpel, scissors)
Passive drains
Penrose, open drains
Active drains
Jackson-pratt, closed drains that work using suction