Wound Management

Question 1

How do we sterily prep a wound?

Answer 1

Clip and use sterile lube, scrub with surgical scrub, lavage with sterile material flush of some sort ?

Question 2

Removal of necrotic tissue.

Answer 2

Debridement

Question 3

Two types of debridement.

Answer 3

Mechanical and non-mechanical

Question 4

What are drains placed for?

Answer 4

Removal of fluid, reduce dead space, abscesses

Question 5

What is the most common drain?

Answer 5

Penrose drain

Question 6

Three types of bandages for wounds?

Answer 6

Wet to dry, dry to dry, wet to wet

Question 7

What are dry to dry bandages used for?

Answer 7

Necrotic tissue

Question 8

What are wet to dry bandages used for?

Answer 8

Dried or semi dry exudates

Question 9

What is used for moisten bandages?

Answer 9

Saline or chlorexadine

Question 10

What are wet to wet bandages used for?

Answer 10

For wounds with large amounts of exudates

Question 11

Four phases of wound healing?

Answer 11

Inflammatory, debridement, repair, maturation

Question 12

What happens during the inflammatory phase?

Answer 12

5-10 minutes after wound, hemmorage, blood vessel constrict, blot clots and forms scab

Question 13

What happens during the debridement phase?

Answer 13

6 hours after injury, cells remove bacteria from wound and wounds exudates

Question 14

What happens to the repair phase of a wound?

Answer 14

3-5 days, collegian adds wound strength, capillaries appear in wound

Question 15

What happens during maturation phase?

Answer 15

Wound strength at the maximum, may take weeks to years

Question 16

What factors affect the time of healing?

Answer 16

Age, disease, drugs used, nutritional status, contamination, blood supply, infection, movement

Question 17

When is the optimal time to close a wound?

Answer 17

Primary wound closure- 6-8 hours after wound because bacteria hasn’t been able to multiply

Question 18

When is considered delayed primary closure?

Answer 18

1-2 days after wound is closed

Question 19

When does second intention healing take place?

Answer 19

Wounds healed without manual closure

Question 20

When is third intention healing?

Answer 20

Suture at 3-5 days after granulation occurs to control infection of severely dirty wounds

Question 21

What are the three steps of wound treatment?

Answer 21

Evaluation, assess size and location and treat and protect