Dressings
These dressings contain 30-90% water and are commonly used to hydrate dry necrotic wounds.
What are hydrogels?
The stage that a pressure injury with localized, non-blanchable redness over intact skin would be classified as.
What is Stage 1?
This vascular wound is classified by shallow, irregular edges, moderate exudate and moderate edema especially in dependent positions
What is a venous ulcer?
This phase of wound healing is characterized by mild erythema and warmth around the wound edges.
What is the inflammatory phase?
This dressing material is derived from seaweed and is highly absorbant.
What is (calcium) alginate?
This type of wound has full-thickness skin loss with visible adipose tissue but no exposed bone, muscle, tendon and fascia.
What is a Stage 3 pressure injury?
This range of Ankle Brachial Index values signify moderate peripheral arterial disease.
What is 0.5 - 0.8?
This is an easy way to track erythema at wound edges to assess whether the wound is decreasing in size.
What is mark the borders with a marker?
This type of selective debridement is an option for a wound that has not been responsive to other methods but may be a tough sell.
What is biological debridement?
When trying to offload a pressure injury on the sacrum, this is the ideal degree of tilt that a patient shoule be placed in sidelying.
What is compression?
When treating a type 1 skin tear, this should be used to directly cover the wound bed.
What is the skin flap?
This wound healing process is promoted by the moist wound healing environment created by hydrocolloid dressings.
What is autolytic debridement?
This is the force that is minimized by keeping the head of bed as low as possible
What is protect the wound with proper footwear?
This intervention, almost always recommended in someone with venous insufficiency, is used with caution in someone with arterial insufficiency.
What is compression?
Typically the best choice for dressing a wound with moderate amounts of exudate located near a bony area.
What is foam?
In the presence of this type of tissue, selective debridement is not indicated.
What is stable firmly adherent eschar?
This type of support surface actively circulates air and moves moisture and heat and is recommended for patients who cannot reposition themselves easily and has a history of pressure injuries in the past
What is a low air-loss mattress?
The superficial and deep venous systems are incompetent when this is observed when applying the Trendelenburg test.
What is venous distention before AND after the tourniquet is removed in standing?
This modality can be used with many types of wounds and can be kept on for weeks at a time however caution should be used in those with bleeding disorders, malignancies near wound, or osteomyelitis.
What is negative pressure wound therapy (wound vac)?