3802 test III
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| show | Adhesions
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| show | bacterial biodurden
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| show | Cytokines
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| A bursting open, as a graadian follicle or wound, especially abdominal wounds. | show 🗑
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| Protrusion of the viscera; removal of the viscera | show 🗑
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| show | Eschar
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| show | Erythema
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| show | Keloid
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| the closure or state of being closed, of a passage | show 🗑
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| An atypical fibroblast with features of a fibroblast and a smooth muscle cell | show 🗑
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| To shed or cast off dead tissue | show 🗑
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| Containing pus, or caused by pus | show 🗑
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| What is the first phase of wound healing? | show 🗑
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| When does the inflammatory phase begin during wound healing? | show 🗑
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| What happends physiologically in the body during the inflammatory phase? | show 🗑
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| When does neutrophils reach the injured site during the inflammatory phase? | show 🗑
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| What has to be necessary for neutrophils to destroy the bacteria? | show 🗑
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| When do monocytes enter the wound during the inflammatory phase? | show 🗑
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| By the fourth day the monocytes will enter the inflammed injured site and differentiate into...what? | show 🗑
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| What do macrophages do? | show 🗑
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| show | After the inflammatory phase and between about 2 days to 3 weeks (after the injury).
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| When does the proliferative or granulation phase (regeneration) end? | show 🗑
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| show | There is a rapid growth of epithelial cells to produce a protective covering for the wound.
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| show | From rebuilding of the rebuilding of vascular capillary network-collagen tissue
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| During the proliferation/granulation phase when is the scar 10% of the tensile strength normal skin? | show 🗑
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| What color does healthy granulation tissue look like? | show 🗑
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| What is the last phase of wound healing? | show 🗑
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| show | Begins between 14-21 days after the injury and can last up to two years. This happens during the maturation/wound re-modeling phase.
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| show | The scar shrinks and thins. It becomes less red because the capillaries regress.
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| Once scar tissue in complete during wound-remodeling, what percent achieves tensile strength of normal skin? | show 🗑
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| show | B/c scar tissue has fewer melanocytes
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| Primary vrs Secondary intention: Which is the simplest form of healing? | show 🗑
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| How is the primary intention during wound healing managed? How do these wounds occur? | show 🗑
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| show | Positive: these wounds close rapidly b/c there are no gaps in tissue. Negative: the tensile strength of the wound is very weak at this stage of healing
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| show | By granulation
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| show | Burns, pressure ulcers, and wounds with lg pieces of skin that are missing.
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| show | 30-35 cal/kg/day
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| show | Low serum albumin, low oxygen, and Zinc deficiancy.
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| show | Vitamins A, C, iron, copper, zinc
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| What levels of blood glucose reduces the body's ability to heal? | show 🗑
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| hemoglobin levels have to be what to indicate poor wound healing --> a delay in the healing process? | show 🗑
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| Which types of medicatins delay wound healing? | show 🗑
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| show | vitamin A
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| show | B)Arterial ulcers
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| show | they are NOT due to a lack a venous return but rather a diminished ability of nutrients to diffuse through the interstial space from capillaries.
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| show | Calf pump failure, pregnancy, obesity, tumor, or deep vein thrombosis.
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| show | Peripheral neuropathy and musculoskeletal disorders.
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| show | Compression therapy
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| Compressino therapy is containdicated with clients experiencing which conditions? | show 🗑
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| show | Arterial ulcers
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| How are pt's treated for arterial ulcers? | show 🗑
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| when is surgical treatment for an arterial ulcer necessary? | show 🗑
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| show | Should be moistened with sterile saline solution
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| show | Clean gloves are put on after hand hygiene and before tape is removed. Clean gloves will be worn during the removal of the dressing and assessment of wound site. Sterile gloves will be worn after wound site assessment and before wound is ready to clean.
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| show | False. When opening gloves package after everything else is set up is when gloves must be put on to clean wound.
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| T/F It is NOT okay to spill sterile solution on sterile field even if by accident. | show 🗑
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| Which area is considered contaminated when opening a package? | show 🗑
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| show | Identify location of wound, observe wound bed and appearance; check wound for size, shape, depth, and margins. Observe exudates or drainage, evaluate presence of pain.
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| Which type of dressing does NOT support healing or prevent entry to exogenous bacteria? | show 🗑
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| show | Slowly, by pulling tape TOWARD the wound.
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| What is the rationale behind pulling the tape toward the wound when removing an old dressing? | show 🗑
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| show | persistent drainage,edema, or temp above 100.4
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| show | Clean from least contaminated to most contaminated which means: clean incision line first then move away from incision line. Clean from top to bottom, using the swab only once.
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| What type of dressing is used when applying a wet-moist dressing? | show 🗑
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| show | Unfold a moist, sterile 4 x 8 dressing into a single layer and place on top of wet dressing covering the wound (NOT on skin). Then place dry 4 x 8 pad over the dressing to hold it in place. Tape only edges of dressing.
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| When caring for a wound with a penrose drain, where should cleansing start and what is the proper technique? | show 🗑
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| When removing sutures, describe the proper way to cut off suture. | show 🗑
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| Describe the process of removing staples. | show 🗑
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| show | Eat foods high in protein, carbs, vitamins, and minerals to promote wound healing.
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| What should a Pt do to prevent separation of wound edges when coughing or moving? | show 🗑
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| show | Encourage daily use of showering; water may run over wound. Instruct Pt not to use soap, lotions, or vitamin creams on incision.
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| show | 10 lbs or less.
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| What is the first thing a nurse should do before obtaining a wound culture? | show 🗑
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| Describe technique of obtaining culture swab after wound has been cleaned. | show 🗑
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