Wound Management.2

Question 1

Why is nutrition important for healing?

Answer 1

glucose/ protein vital for regeneration/ growth
not enough energy sources- breakdown of vital
increased demand- inactive/dormant wound

Question 2

What is the initial assessment?

Answer 2

determines the severity, treatment and facilities needed for wound healing
- rapid approach- bacteria

Question 3

What is the Golden Period?

Answer 3

treating open wounds within first 6 hours

Question 4

What are Lavage (cleaning) considerations?

Answer 4

GA
fill wound- water soluble gel- prevents embedded hair
flush- copious amounts, disloging bacteria
rehydration of necrotic tissue- aids debridement

Question 5

What is the aim of lavage?

Answer 5

removes debris/ dilute bacteria load- bacterial biofilms- coating over wound

Question 6

What are the 3 different types of lavage fluids?

Answer 6

sterile, non-sterile and isotonic fluid (cell osmotic pressure)- reduces fibroblast damage

Question 7

What is Debridement?

Answer 7

removes all devitalised, contaminated/ infected tissue/ debris
reduces macrophage work
speeds healing
closer examination of wound

Question 8

Non-Surgical Debridement-

Answer 8

wet to dry dressings- mechanical
hydrogels/ honey- rehydrates/ loosens dead cells- drawing toxins from base of wound into dressing
dirty- several weeks
sterile medical grade maggots- unhealthy tissue (costly)

Question 9

Surgical Debridment-

Answer 9

many wounds need this to remove gross contamination
repeated- tissues devitalise
exploration
change sterile equipment- wound cleaner

Question 10

When should antibiotics not be seen?

Answer 10

as an alternative lavage/ debridement

Question 11

When should culture and sensitivity be preformed?

Answer 11

exudative wounds- systemic signs

Question 12

What are examples of synergistically bacteria?

Answer 12

aerobes/ anaerobes

Question 13

What is important when checking wound healing progression?

Answer 13

wound exudes less
no smell
wet?
granulation- bright red
new epithelial tissue growing from wound edges

Question 14

What are the layer stages of dressing?

Answer 14

primary
secondary
teritary

Question 15

Primary-

Answer 15

absorbent/ non-absorbent
adherent/ non-adherent
passive/ interaction/ bioactive

Question 16

Secondary Considerations-

Answer 16

padding, 50% overlap
no overstretch- causes pressure sores

Question 17

Tertiary Considerations-

Answer 17

protects other layers of bandage- soiling/ mutilation
easily elastic/ cohesive
50% overlap
vet wrap