Acute vs Chronic wounds

2nd stage inflammatory

1 hour-2 to 5 days leukocytes throbbing and tenderness nuetrophills eat that bad shit

3rd stage proliferation

3-24 days healing

Provide analgesic __________________ prior to positioning or wound care

30 minutes

look at wbc count

4,000-11,000 uL could possibly be an indication of infection

Which of the following describes a hydrocolloid dressing? A. A seaweed derivative that is highly absorptive B. Pre-moistened gauze placed over a granulating wound C. A debriding enzyme that is used to remove necrotic tissue D. A dressing that forms a gel that interacts with the wound surface

D. A dressing that forms a gel that interacts with the wound surface

When obtaining a wound culture to determine the presence of a wound infection, from where should the specimen by taken? A. Necrotic tissue B. Wound drainage C. Wound circumference D. Cleansed wound

D. Cleansed wound

nutrition for wound healing

Protein Vitamin C Vitamin A Zinc

steroids affect skin over

a long period of time

abdominal surgery

abdominal binder

Wounds that heal by primary intention borders both side healing occurs through epithelialization

acute

slow to heal lack of circulation wound vac system is often used *may have to have a skin graph*

chronic

maturation

development of scar tissue

unstageable

escar(must go)

elevate bed to help prevent

evisceration

get them back in bed cover with sterile salon trowels less pressure on incisional site assess for shock stay with patient notify the surgeon right away

evisceration prevention

stage 3

full thickness loss bone and tendon not exposed deep crater undermining(mostly with 4)

stage 4

full thickness skin loss you can see muscle tendon and bone less feeling slough tunneling

lots of capillaries what we want to see

granulation

tertiary

heals infection

teach patient about splinting

hug pillow

deep tissue injury

just hasn't busted

stage 1

no break does not of back within 30 mins soft or very firm make sure not in chair for more than two hours

decrease in what for old people

oil and sweat glands

stage 2

partial thickness loss(epi layer) opening

1st stage hemostatsis

platlets poop out

diabetic have reduced

sensitivity

Close to the skin edge on one side as possible and pull the suture through from the other side.

suture

knee surgery

wear knee brace