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| Scars forming in a disorganized manner? |
HYPERTROPHIC SCARRING/KELOID SCARRING |
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MichaelMorano Sat, 22 Oct 2011 23:17:55 GMT |
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| Normotrophic scarring? |
SCARS FORMING IN AN ORGANIZED MANNER |
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MichaelMorano Sat, 22 Oct 2011 23:17:55 GMT |
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| The maturation phase of healing is AKA? |
REMODELING PHASE |
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MichaelMorano Sat, 22 Oct 2011 23:16:06 GMT |
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| What are the factors that influence wound healing? |
*AGE
*ILLNESS
*INFECTION
*LIFESTYLE
*MEDICATION |
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MichaelMorano Sat, 22 Oct 2011 23:16:06 GMT |
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| Ulcer? |
LESION ON THE SURFACE OF THE SKIN OR THE SURFACE OF A MUCOUS MEMBRANE, PRODUCED BY THE SLOUGHING OF INFLAMMATORY, NECROTIC TISSUE. |
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MichaelMorano Sat, 22 Oct 2011 23:16:06 GMT |
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| A wound that is made by a sharp pointed instrument or object by penetrating thought the skin into underlying tissues? |
PUNCTURE |
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MichaelMorano Sat, 22 Oct 2011 23:16:05 GMT |
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| A wound that enters into the interior of an organ or cavity? |
PENETRATING WOUND |
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MichaelMorano Sat, 22 Oct 2011 22:59:13 GMT |
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| Laceration? |
A WOUND OR IRREGULAR TEAR OF TISSUES THAT IS OFTEN ASSOCIATED WITH TRAUMA. |
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MichaelMorano Sat, 22 Oct 2011 22:59:13 GMT |
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| Hematoma? |
SWELLING OR MASS OF BLOOD LOCALIZED IN AN ORGAN, SPACE OR TISSUE, USUALLY CAUSED BY A BREAK IN A BLOOD VESSEL. |
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MichaelMorano Sat, 22 Oct 2011 22:59:13 GMT |
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| An injury in which the skin is not broken. The injury is characterized by pain, swelling, and discoloration? |
CONTUSION |
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MichaelMorano Sat, 22 Oct 2011 22:59:13 GMT |
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| A wound that occurs from the scraping away of the surface layers of the skin, often as a result of trauma? |
ABRASION |
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MichaelMorano Sat, 22 Oct 2011 22:57:01 GMT |
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| How is non-selected debridement often performed? |
*WET TO DRY DRESSINGS
*WOUND IRRIGATION
*HYDROTHERAPY (WHIRLPOOL) |
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MichaelMorano Sat, 22 Oct 2011 22:57:01 GMT |
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| Non-viable debridement is often termed? |
MECHANICAL DEBRIDEMENT |
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MichaelMorano Sat, 22 Oct 2011 22:57:01 GMT |
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| This type of debridement involves removing both viable and non viable tissues? |
NON-SELECTIVE DEBRIDEMENT |
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MichaelMorano Sat, 22 Oct 2011 22:57:01 GMT |
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| What is the purpose of autolytic debridement? |
PROVIDES A MOIST WOUND ENVIRONMENT THAT PERMITS DEHYDRATION OF NECROTIC TISSUE AND ESCHAR TO ALLOW ENZYMES TO DIGEST THE NONVIABLE TISSUE |
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MichaelMorano Sat, 22 Oct 2011 22:44:04 GMT |
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| What are common methods of autolytic debridement? |
*TRANSPARENT FILMS
*HYDROCOLLOIDS
*HYDROGELS
*ALGINATES |
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MichaelMorano Sat, 22 Oct 2011 22:44:04 GMT |
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True/False
Autolytic debridement can be performed on infected wounds? |
FALSE |
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MichaelMorano Sat, 22 Oct 2011 22:44:04 GMT |
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| Refers to using the body's own mechanisms to remove nonviable tissue? |
AUTOLYTIC DEBRIDEMENT |
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MichaelMorano Sat, 22 Oct 2011 22:44:04 GMT |
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| Enzymatic debridement? |
*TOPICAL APPLICATION OF ENZYMES TO THE SURFACE OF NECROTIC TISSUE.
*CAN BE USED ON INFECTED AND NON INFECTED NECROTIC WOUNDS |
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MichaelMorano Sat, 22 Oct 2011 22:38:34 GMT |
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| What kind of debridement is necessary if autolytic debridement was unsuccessful? |
ENZYMATIC DEBRIDEMENT |
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MichaelMorano Sat, 22 Oct 2011 22:38:34 GMT |
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| When is it proper to perform sharp debridement? |
*MOST OFTEN USED ON WOUNDS WITH LARGE AMOUNTS OF THICK, ADHERENT, NECROTIC TISSUE.
*ALSO USED IN THE PRESENCE OF CELLULITIS AND SEPSIS |
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MichaelMorano Sat, 22 Oct 2011 22:38:34 GMT |
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| Selective debridement? |
*REMOVING ONLY NON VIABLE TISSUE FROM A WOUND
*MOST OFTEN PERFORMED BY SHARP DEBRIDEMENT, ENZYMATIC DEBRIDEMENT, AND AUTOLYTIC DEBRIDEMENT |
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MichaelMorano Sat, 22 Oct 2011 22:38:34 GMT |
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| List the dressings from moisture retentive to least retentive? |
*ALGINATES
*SEMIPERMEABLE FOAM
*HYDROCOLLOIDS
*HYDROGELS
*SEMIPERMEABLE FILMS |
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MichaelMorano Fri, 21 Oct 2011 04:01:17 GMT |
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| List the dressings from most occlusive to non occlusive? |
*HYDROCOLLOIDS
*HYDROGELS
*SEMIPERMEABLE FOAM
*SEMIPERMEABLE FILM
*IMPREGNATED GAUZE
*ALGINATES
*TRADITIONAL GAUZE |
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MichaelMorano Fri, 21 Oct 2011 04:01:17 GMT |
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| Secondary dressing? |
PLACED DIRECTLY OVER THE PRIMARY DRESSING TO PROVIDE PROTECTION, ABSORPTION, AND/OR OCCLUSION |
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MichaelMorano Fri, 21 Oct 2011 04:01:17 GMT |
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| Primary dressing? |
COMES INTO DIRECT CONTACT WITH THE SKIN |
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MichaelMorano Fri, 21 Oct 2011 04:01:17 GMT |
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| What are the disadvantages of using alginates? |
*MAY REQUIRE FREQUENT DRESSING CHANGES BASED ON LEVEL OF EXUDATE
*REQUIRES A SECONDARY DRESSING
*CANNON BE USED ON WOUNDS WITH AN EXPOSED TENDON, JOINT CAPSULE OR BONE |
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MichaelMorano Fri, 21 Oct 2011 03:55:57 GMT |
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| What are the advantages of using alginates? |
*HIGH ABSORPTION CAPACITY
*ENABLES AUTOLYTIC DEBRIDEMENT
*OFFERS PROTECTION FROM MICROBIAL CONTAMINATION
*CAN BE USED ON INFECTED OR UNINFECTED WOUNDS
*NON-ADHERING TO WOUND |
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MichaelMorano Fri, 21 Oct 2011 03:55:57 GMT |
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| What are the indications for using Alginates? |
*TYPICALLY USED ON PARTIAL AND FULL THICKNESS WOUNDS
(IE: PRESSURE WOUNDS OR VENOUS INSUFFICIENCY ULCERS)
*OFTEN USED ON INFECTED WOUNDS DUE TO THE LIKELIHOOD OF EXCESSIVE DRAINAGE |
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MichaelMorano Fri, 21 Oct 2011 03:55:57 GMT |
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| Consists of calcium salt of alganic acid that is extracted from seaweed? |
ALGINATES |
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MichaelMorano Fri, 21 Oct 2011 03:55:57 GMT |
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| What are the disadvantages of using Gauze? |
*HAS A TENDENCY TO ADHERE TO WOUND BED
*HIGHLY PERMEABLE AND THEREFORE REQUIRES FREQUENT DRESSING CHANGES
*INCREASED INFECTION RATE COMPARED TO OCCLUSIVE DRESSINGS |
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MichaelMorano Fri, 21 Oct 2011 03:47:37 GMT |
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| What are the advantages of using Gauze? |
*READILY AVAILABLE, COST EFFECTIVE DRESSINGS
*CAN BE USED ALONE OR IN COMBINATION WITH OTHER DRESSING OR TOPICAL AGENTS
*CAN MODIFY NUMBER OF LAYERS TO ACCOMMODATE FOR CHANGING WOUND STATUS
*CAN BE USED ON INFECTED OR UNINFECTED WOUNDS |
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MichaelMorano Fri, 21 Oct 2011 03:47:37 GMT |
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| What are the indications for using Gauze pads? |
*COMMONLY USED ON INFECTED OR NON INFECTED WOUNDS OF ANY SIZE
*THE DRESSING CAN BE WET-TO-WET OR WET-TO-DRY DEBRIDEMENT |
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MichaelMorano Fri, 21 Oct 2011 03:47:37 GMT |
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| The most readily available dressing used in an inpatient environment? |
GAUZE |
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MichaelMorano Fri, 21 Oct 2011 03:47:37 GMT |
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| What are the disadvantages of using transparent films? |
*EXCESSIVE ACCUMULATION OF EXUDATES CAN RESULT IN PERIWOUND MACERATION
*ADHESIVE MAY TRAUMATIZE PERIWOUND AREA UPON REMOVAL
*CANNOT BE USED ON INFECTED WOUNDS |
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MichaelMorano Fri, 21 Oct 2011 03:41:38 GMT |
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| What are the advantages of using transparent films? |
*PROVIDES A MOIST ENVIRONMENT FOR WOUND HEALING
*ENABLES AUTOLYTIC DEBRIDEMENT
*ALLOWS VISUALIZATION OF THE WOUND
*RESISTANT TO SHEARING AND FRICTIONAL FORCES
*COST EFFECTIVE OVER TIME |
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MichaelMorano Fri, 21 Oct 2011 03:41:38 GMT |
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| Transparent films can be used on wounds with what kind of drainage? |
MINIMAL |
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MichaelMorano Fri, 21 Oct 2011 03:41:38 GMT |
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| Highly elastic, conform to a variety of body contours, and allow easy visual inspection of the wound? |
TRANSPARENT FILM |
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MichaelMorano Fri, 21 Oct 2011 03:41:38 GMT |
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| What are the disadvantages of foam dressings? |
*MAY TEND TO ROLL IN AREAS OF EXCESSIVE FRICTION
*ADHESIVE FORM MAY TRAUMATIZE PERIWOUND AREA UPON REMOVAL
*LACK OF TRANSPARENCY MAKES INSPECTION OF WOUND DIFFICULT |
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MichaelMorano Fri, 21 Oct 2011 03:36:55 GMT |
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| What are the advantages of foam dressings? |
*PROVIDES A MOIST ENVIRONMENT FOR WOUND HEALING
*AVAILABLE IN ADHESIVE AND NON ADHESIVE FORMS
*PROVIDES PROPHYLACTIC PROTECTION AND CUSHIONING
*ENCOURAGES AUTOLYTIC DEBRIDEMENT
*PROVIDES MODERATE ABSORPTIONS |
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MichaelMorano Fri, 21 Oct 2011 03:36:55 GMT |
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| What are the indications for using a foam dressing? |
PROVIDE PROTECTION OVER PARTIAL AND FULL THICKNESS WOUNDS |
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MichaelMorano Fri, 21 Oct 2011 03:36:55 GMT |
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| These dressing have a hydrophilic and hydrophobic surface? |
FOAM DRESSINGS |
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MichaelMorano Fri, 21 Oct 2011 03:36:55 GMT |
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True/False
Hydrogels are moisture retentive? |
TRUE
THEY DO NOT ABSORB FLUID |
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MichaelMorano Thu, 20 Oct 2011 22:51:40 GMT |
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| What kind of wounds are hydrogels used for? |
COMMONLY USED ON SUPERFICIAL AND PARTIAL THICKNESS WOUNDS
IE: ABRASIONS, BLISTERS, PRESSURE ULCERS THAT HAVE MINIMAL DRAINAGE |
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MichaelMorano Thu, 20 Oct 2011 22:50:24 GMT |
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| What kind of wounds are hydrocolloids used for? |
PARTIAL AND FULL THICKNESS WOUNDS |
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MichaelMorano Thu, 20 Oct 2011 22:50:24 GMT |
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| What are the disadvantages of hydrocolloids? |
*MAY TRAUMATIZE SURROUNDING INTACT SKIN UPON REMOVAL
*MAY TEND TO ROLL IN AREAS OF EXCESSIVE FRICTION
*CANNOT BE USED ON INFECTED WOUNDS |
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MichaelMorano Thu, 20 Oct 2011 22:50:24 GMT |
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| What are the advantages for hydrocolloids? |
*PROVIDES A MOIST ENVIRONMENT FOR WOUND HEALING
*ENABLES AUTOLYTIC DEBRIDEMENT
*OFFERS PROTECTION FROM MICROBIAL CONTAMINATION
*PROVIDES MODERATE ABSORPTION
*DOES NOT REQUIRE A SECONDARY DRESSING
*PROVIDES A WATERPROOF SURFACE |
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MichaelMorano Thu, 20 Oct 2011 22:50:24 GMT |
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| Hydrocolloids? |
*ABSORB EXUDATE BY SWELLING INTO A GEL-LIKE MASS AND VARY FROM BEING OCCLUSIVE TO SEMIPERMEABLE.
*THE DRESSING DOES NOT ATTACH TO THE ACTUAL WOUND ITSELF AND IS INSTEAD ANCHORED TO THE INTACT SKIN SURROUNDING THE WOUND |
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MichaelMorano Thu, 20 Oct 2011 22:42:48 GMT |
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| What is a good thing to have a patient do to assist in decreasing pain do to a venous ulcer? |
ELEVATE THE LEG |
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MichaelMorano Thu, 20 Oct 2011 22:42:48 GMT |
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| What kind of tissue changes occur with a venous ulcer? |
FLAKING, DRY SKIN; BROWNISH DISCOLORATION |
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MichaelMorano Thu, 20 Oct 2011 22:42:48 GMT |
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True/False
The skin temperature is normal on patients with a venous ulcer? |
TRUE |
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MichaelMorano Thu, 20 Oct 2011 22:42:48 GMT |
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True/False
A patient with a venous ulcer will often experience increased edema? |
TRUE |
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MichaelMorano Thu, 20 Oct 2011 21:47:21 GMT |
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| What is the characteristic of the pulse of a venous ulcer? |
NORMAL |
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MichaelMorano Thu, 20 Oct 2011 21:47:21 GMT |
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| What kind of pain to patients experience with a venous ulcer? |
MILD TO MODERATE PAIN |
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MichaelMorano Thu, 20 Oct 2011 21:47:21 GMT |
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| What is the appearance of a venous ulcer? |
IRREGULAR SHAPE AND SHALLOW |
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MichaelMorano Thu, 20 Oct 2011 21:47:21 GMT |
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| Where will you find a venous ulcer? |
MEDIAL MALLEOLUS |
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MichaelMorano Thu, 20 Oct 2011 21:45:31 GMT |
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| What do you not want to do while treating an arterial wound? |
ELEVATE THE WOUND
*THIS WILL FURTHER DECREASE BLOOD FLOW |
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MichaelMorano Thu, 20 Oct 2011 21:45:31 GMT |
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| What kind of tissue changes will occur do to an arterial wound? |
*THIN AND SHINY SKIN
*HAIR LOSS
*YELLOW NAILS |
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MichaelMorano Thu, 20 Oct 2011 21:45:31 GMT |
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True/False
An arterial wound will have a decreased temperature due to an increase in blood flow? |
FALSE
*WILL HAVE DECREASED TEMP HOWEVER, IS BECAUSE OF A LACK OF BLOOD FLOW |
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MichaelMorano Thu, 20 Oct 2011 21:45:31 GMT |
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True/False
An arterial wound will typically have severe edema? |
FALSE
NORMAL |
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MichaelMorano Thu, 20 Oct 2011 21:29:39 GMT |
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| An arterial wound will have what kind of pulse? |
DIMINISHED |
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MichaelMorano Thu, 20 Oct 2011 21:29:39 GMT |
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| What kind of pain do patients experience with an arterial wound? |
SEVERE PAIN |
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MichaelMorano Thu, 20 Oct 2011 21:29:39 GMT |
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| What does an arterial wound look like? |
SMOOTH EDGES, WELL DEFINED; LACK GRANULATION TISSUE, TEND TO BE DEEP |
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MichaelMorano Thu, 20 Oct 2011 21:29:39 GMT |
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| Where can you expect to find an arterial ulcer? |
LOWER ONE-THIRD OF LEG, TOES, WEB SPACES, (DISTAL TOES, DORSAL FOOT, LATERAL MALLEOLUS) |
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MichaelMorano Thu, 20 Oct 2011 21:27:35 GMT |
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| What are the key functions of the integumentary system? |
*EXCRETION OF SWEAT
*PROTECTION
*SENSATION
*THERMORGEGULATION
*VITAMIN D SYNTHESIS |
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MichaelMorano Thu, 20 Oct 2011 21:27:35 GMT |
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| A person with atherosclerosis will likely suffer form what kind of wound? |
ATERIAL INSUFFICIENCY ULCER |
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MichaelMorano Thu, 20 Oct 2011 21:27:35 GMT |
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| How do pressure ulcers occur? |
FROM SUSTAINED OR PROLONGED PRESSURE AT LEVELS GREATER THAN THE LEVEL OF CAPILLARY PRESSURE ON THE TISSUE. |
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MichaelMorano Thu, 20 Oct 2011 21:27:35 GMT |
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| Pressure of the skin over a bony prominence will result in what? |
LOCALIZED TISSUE ISCHEMIA AND OR TISSUE NECROSIS. |
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MichaelMorano Thu, 20 Oct 2011 21:20:10 GMT |
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| Pressure ulcers are AKA? |
DECUBITUS ULCERS |
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MichaelMorano Thu, 20 Oct 2011 21:20:10 GMT |
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| Where are neuropathic ulcers typically found? |
ON THE PLANTAR SURFACE OF THE FOOT, BENEATH THE METATARSAL HEAD. |
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MichaelMorano Thu, 20 Oct 2011 21:20:10 GMT |
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| Ischemia? |
A RESTRICTION OF BLOOD SUPPLY, GENERALLY DUE TO FACTORS IN THE BLOOD VESSELS. |
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MichaelMorano Thu, 20 Oct 2011 21:20:10 GMT |
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