Wound Management Flashcards
How do we sterily prep a wound?
Clip and use sterile lube, scrub with surgical scrub, lavage with sterile material flush of some sort ?
Removal of necrotic tissue.
Debridement
Two types of debridement.
Mechanical and non-mechanical
What are drains placed for?
Removal of fluid, reduce dead space, abscesses
What is the most common drain?
Penrose drain
Three types of bandages for wounds?
Wet to dry, dry to dry, wet to wet
What are dry to dry bandages used for?
Necrotic tissue
What are wet to dry bandages used for?
Dried or semi dry exudates
What is used for moisten bandages?
Saline or chlorexadine
What are wet to wet bandages used for?
For wounds with large amounts of exudates
Four phases of wound healing?
Inflammatory, debridement, repair, maturation
What happens during the inflammatory phase?
5-10 minutes after wound, hemmorage, blood vessel constrict, blot clots and forms scab
What happens during the debridement phase?
6 hours after injury, cells remove bacteria from wound and wounds exudates
What happens to the repair phase of a wound?
3-5 days, collegian adds wound strength, capillaries appear in wound
What happens during maturation phase?
Wound strength at the maximum, may take weeks to years
What factors affect the time of healing?
Age, disease, drugs used, nutritional status, contamination, blood supply, infection, movement
When is the optimal time to close a wound?
Primary wound closure- 6-8 hours after wound because bacteria hasn’t been able to multiply
When is considered delayed primary closure?
1-2 days after wound is closed
When does second intention healing take place?
Wounds healed without manual closure
When is third intention healing?
Suture at 3-5 days after granulation occurs to control infection of severely dirty wounds
What are the three steps of wound treatment?
Evaluation, assess size and location and treat and protect
