Pressure Ulcers
Full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present.
What is a Stage IV
thin watery, pale pink/red
What is Serosanguinous
This dressing is used when infection is suspected and moderate to high drainage. Requires MD order
What is a silver dressing
This is the newest category added to the PI literature.
What is medical device related PI.
Turn & reposition Q 2 hr in bed, encourage at least 30 min repositioning in chair, elevate heels in bed.
What are interventions to reduce or treat PI.
This is the treatment for a open wound with little to no drainage.
What is hydrogel and telfa or curad ouchless.
Used to document severity of a DM wound
What is Wagner grading scale.
Treatment for a partial or full thickness draining wound with.
What is Mepilex foam or foam bordered dressing.
This is performed within 8 hrs of admission, daily and as needed.
What is a pressure injury risK assessment?
Adherent soft or hard black tissue
What is eschar
No topical treatment required however off loading is critical.
What is deep tissue injury.
This is a wound that is greater than 30 days old with no signs of healing.
What is a chronic wound.
An independent not for profit professional organization dedicated to prevention & management of PI
What is National Pressure Ulcer Advisory Panel (NPUAP)
head to toe, left to right
What is how to measure a wound
ID and control cause, reduce the cofactors, maintain the physiological wound environment.
What are the 3 principles of wound healing
This product is used to debride wound and requires a MD order.
What is Santyl?
This is a reliable proven tool used to treat and ID risk factors for PI.
What is Braden scale.