wounds Flashcards
1
Q
what do you document about wounds?
A
- skin integrity status (open vs. closed)
- length of time healing (acute vs. chronic)
- depth/severity
- cleanliness/contamination
- description of wound
2
Q
what is wound approximation?
A
are the edges pulled together or not?
3
Q
can pain be good?
A
yes because it indicated blood and nerve supply
4
Q
what does reeda stand for?
A
r - redness e - ecchymosis e - edema d - drainage a - aproximation
5
Q
sanguineous
A
bloody
6
Q
serosanguinous
A
more pinkish
7
Q
serous
A
clear
8
Q
purulent
A
pus/infected
9
Q
secondary intention
A
a wound is left open to heal from inside out
10
Q
influences wound healing
A
- age
- malnutrition
- wound size
- oxygenation/smoking
- immunosuppressive drugs
- diabetes
- radiation
- wound stress
11
Q
fistulas
A
tunnel or opening where it shouldn’t be
- rectovaginal fistula
12
Q
dehiscence
A
wound separation
13
Q
evisceration
A
organs penetrating through wound - more serious, surgical emergency
14
Q
venous stasis ulcer
A
- venous pulling edema
- problem with venous return
- typically in lower extremities
- treated with compression therapy
15
Q
arterial ulcer
A
- caused by insufficient blood supply
- inadequate oxygen supply
- white and cold
