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E Med > Wound Management + > Flashcards

Wound Management + Flashcards

1
Q

goals of wound care

A

. facilitate hemostasis
. decrease tissue loss
. promote wound healing
. minimize scar formation

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2
Q

wound closed by approximation of wound margins

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by first intention

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3
Q

placement of a graft of flap

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by first intention

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4
Q

well-vascularized areas

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by first intention

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5
Q

recent <24 hours

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by first intention

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6
Q

tension free

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by first intention

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7
Q

wound left open and allowed to close by epithelialization and contraction

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by second intention

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8
Q

contaminated or infected

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by second intention

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9
Q

would approximation via reepitheliazation

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by second intention

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10
Q

would contraction by myofribroblasts

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by second intention

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11
Q

too heavily contaminated for primary closure but appear clean

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by third intention

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12
Q

requires debribement

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by third intention

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13
Q

time to epithalization with water barrier restored

A

24-48 hours

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14
Q

mnemonic for factors that affect wound healing

A

DIDN’T HEAL

. Diabetes
. Infection
. Drugs
. Nutrition
. Tissue necrosis
. Hypoxia
. Excessive tension on wound edges
. Another wound
. Low temperature
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15
Q

How does diabetes affect wound healing

A

diminishing sensation and arterial inflow ++ acute los of diabetic control > diminished CO, poor peripheral perfusion, and impaired leukocyte phagocytosis

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16
Q

How does infection affect wound healing?

A

potentiate collagen lysis

17
Q

major points of wound evaluation history

A

. mechanism
. time
. environment
. medical problems

18
Q

longest duration

cocaine
procaine
tetracaine
lidocaine
licaine with epi
bupivacaine
A

bupivacaine

19
Q

rapid onset

cocaine
procaine
tetracaine
lidocaine
licaine with epi
bupivacaine
A

cocaine

procaine

20
Q

onset 5-30 min

cocaine
procaine
tetracaine
lidocaine
licaine with epi
bupivacaine
A

lidocaine

licaine with epi

21
Q

why do we pair epinephrine with lidocaine

A

. increases duration of action

. promotes hemostasis through vasoconstriction

22
Q

methods of debridement

A

surgical, enzymatic, mechanical, autolytic, maggots

23
Q

possible sign of wound with foreign body

A

point tenderness

24
Q

how to clean wound

A

. high pressure irrigation (normal saline)
. 100-300 ml
. 8 psi
. 30-60 ml syringe and 14 gauge angriocatheter

25
Q

allowed to granulate

. healing by first intention
. healing by second intention
. healing by third intention

A

. healing by second intention

26
Q

why do you keep wound moist 24-48 hours

A

augments reepithelialization

27
Q

what nutrition parameters can we optimize in wound care

A

. glucose
. fatty acids
. protein
. vitamins A, C, and zinc

28
Q

collagen synthesis

vitamin A
vitamin C
zinc

A

vitamin A

vitamin C

29
Q

antioxidant

vitamin A
vitamin C
zinc

30
Q

fibroblast proliferation

vitamin A
vitamin C
zinc

31
Q

indications for systemic antibiotic for traumatic wounds

A 
. 6 hours old on extremities
. 24 hours old on face and scalp
. tendon, joint, bony
. cartilage
. co-mobidity
. puncture
. intraoral
32
Q

how do hydrocollouds promote wound debridement

A

by autolysis

33
Q

3-5 days

. face
. arm/anterior trunk
. (back, feet and hands, joint, scalp)

34
Q

7

. face
. arm/anterior trunk
. (back, feet and hands, joint, scalp)

A

. arm/anterior trunk

35
Q

10-14

. face
. arm/anterior trunk
. (back, feet and hands, joint, scalp)

A

. (back, feet and hands, joint, scalp)

36
Q

integra

. collagen and condroitin in sulphate
. alloderm
. apligraftrade

A

. collagen and condroitin in sulphate

37
Q

skin substitute containing collagen and seeded cells

. collagen and condroitin in sulphate
. alloderm
. apligraftrade

A

. apligraftrade

38
Q

immunologically inert, nonliving, allogenic, acellular dermal matrix

. collagen and condroitin in sulphate
. alloderm
. apligraftrade

A

. alloderm

E Med (13 decks)

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