Wounds

Question 1

Most common cause of chronic LEG wounds:

Answer 1

Venous disease

Question 2

Most common cause of FOOT ulcers?

Answer 2

Diabetes

Question 3

Most beneficial treatment for venous ulcers?

Answer 3

Compression

Question 4

TED stockings for compression?

Answer 4

Nope

Question 5

What is normal therapeutic compression pressures

Answer 5

18-24mmhg: normal thin

25-35mmhg: heavy

Question 6

Normal ABI?

Answer 6

0.8-1.1

Question 7

Below 0.8 ABI indicates?

Answer 7

Peripheral arterial disease

Question 8

ABI of >1.2 means?

Answer 8

Calcification, doesn’t really tell you much

Question 9

Toe pressures needed for healing?

Answer 9

> 30

Question 10

Normal toe pressure?

Answer 10

> 80

Question 11

What is critical limb ischaemia? Toe pressure mmhg?

Question 12

Deep infection mnemonic?

Answer 12

STONES
Size bigger
Temp
So
New area
Erythema
Smell

Question 13

When to swab a wound?

Answer 13

If you think it’s infected and going to start Abx?

Question 14

How to take a wound swab?

Answer 14

Roll tip 1cm3

Over the most abnormal area after cleaning

Question 15

Risks for pressure injuries: intrinsic?

Answer 15

Age
Malnutrition
Impaired mobility
Severe illness
Neurological deficits

Question 16

Risks for pressure injuries: extrinsic?

Answer 16

Pressure
Shear
Friction: sweating, incontinence

Question 17

Staging system for wounds?

Answer 17

Stage I: unblanchable redness
Stage II: partial thickness, shallow ulcer
Stage III: full thickness tissue loss, subcut
Stage IV: full thickness tissue with exposed bone/muscle/tendon
Unstageable
Suspected deep tissue injury

Question 18

How to reduce risk of developing pressure ulcer in an elderly stroke patient

Answer 18

Pressure relieving mattress

Question 19

Nappy rash in adults called? Looks like?

Answer 19

Incontinence associated dermatitis

Well demarcated and central sparing

Question 20

Incontinence associated dermatitis Rx?

Answer 20

Treat candidiasis
Zinc cream
Cleaning etc.