Wounds

Question 1

How do wounds heal?

Answer 1

Primary (edges can seal)

Secondary (edges do not seal)

Question 2

Stages of wound healing

Answer 2

Inflammatory, proliferative maturation or remodelling

Question 3

Factors impeding wound healing

Answer 3

Ischemia, venous insufficiency, trauma, deformity, neuropathy, nutrition, diabetes, CRF, dressing selection

Question 4

Wound assessment characteristics

Answer 4

Location, size, drainage, location, tunnel, edge, bed

Question 5

Innate defences from infection?

Answer 5

Acidic pH, epithelial cells and lipids, immune cells, resident micro flora

Question 6

Cardinal signs of infection or inflammation

Answer 6

Calor, dolor, tumor, rubor

Question 7

Principles of wound care?

Answer 7

If it is dry, make it moist, if it is dead take it off

Question 8

Needle stick injury?

Answer 8

Have to think of pt, source and type of Risk of Hep + HIV

Question 9

Kid with a laceration

Answer 9

Need to VERY carefully measure lidocaine dose. Can be less than 2-3 ccs for a lethal dose

Question 10

Suturing lips?

Answer 10

Approximate the vermillion border

Question 11

Suturing flaps

Answer 11

Do a buried mattress on the corner