click below
click below
Normal Size Small Size show me how
MB14
MB14 118-126
Question | Answer |
---|---|
stage 1 ulcer | persistent red, blue or purple. No open skin. No blanching |
stage 2 ulcer | partial thickness skin loss, presents as abrasion or blister |
stage 3 ulcer | full thickness skin loss with damage or necrosis of subcutaneous, deep crater |
stage 4 ulcer | visible bones or tendons plus all of stage 3 |
Unstageable | due to necrotic tissue, can't assess damage |
T or F - a Stage 4 ulcer can heal and become a Stage 2 ulcer | False |
Name 2 scales that assess risk for developing pressure ulcers | Braden and Norton |
What are the risks for developing ulcers? | Impaired sensory perception or mobility/ altered level of consciousness/ shear/friction/ moisture |
When charting wounds, what information should be included? | Location, color, size, depth, tunneling, undermining, stage, open or closed, exudate, pain level at site, tenderness |
irrigation | directed flow of water over wounds |
Correct method of wound cleaning | Refer to lab notes or lab manual |
Types of drains for wounds | Hemovac - vascular cavity Jackson Pratt-grenade bombs t tube-after removal of gallbladder or bileduct Penrose-after surgery or for draining abcess |
Wound debridement - autolytic | Wound is dressed and allowed to heal itself. Body uses own enzymes to break down necrotic tissue. |
Wound debridement - enzymatic | commercially available creams and meds. May cause a foul odor but is not infected |
Wound debridement - Sharp | surgical. Ouch!! |
Wound debridement - mechanical | Physically peel layers off by hand. gross. |
R/Y/B color code system for wound management | Red - healthy/ Yellow - wound is infected/ Black - necrotic. |
Different types of dressings - know what and when to use | gauze, transparent films, hydrocolloids, hydrogels, absorbent dressings. If anyone wants to make some cards here to give examples of each, feel free :) |
Cold and Heat Therapy | used for different injuries. See Lynn 420-427 |